Individual
BEYONCE THORNTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6913 GLENVALE CT # 63033, FLORISSANT, MO 63033-5124
(314) 665-9129
Mailing address
6913 GLENVALE CT # 63033, FLORISSANT, MO 63033-5124
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/23/2025
Last updated
09/23/2025
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