Individual
COURTNEY RYDSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, RPT
Contact information
Practice address
1001 BOARDWALK SPRINGS PL STE 113, O FALLON, MO 63368-4777
(314) 322-3229
Mailing address
421 TUXEDO BLVD, SAINT LOUIS, MO 63119-1840
(314) 322-3229
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2017039214
MO
Other
Enumeration date
02/02/2020
Last updated
02/02/2020
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