Individual
MICHELLE ANN CHARBONNIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9890 CLAYTON RD, LADUE, MO 63124
(618) 979-3229
Mailing address
9890 CLAYTON RD, SAINT LOUIS, MO 63124-1685
(314) 222-5830
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10593
MO
Other
Enumeration date
07/26/2018
Last updated
07/26/2018
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