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Individual

RANDY MCLAREN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
5988 MID RIVERS MALL DR, STE. 113, SAINT PETERS, MO 63304-7119
(636) 229-5679
Mailing address
5285 HIGHWAY N STE 103, COTTLEVILLE, MO 63304-7733
(636) 357-6416

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2013036982
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1861032799
MO
Enumeration date
10/14/2015
Last updated
01/08/2020
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