Individual
MISS CANDRA JAMAE POITRAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAC
Contact information
Practice address
567 MADISON ST, SAINT CHARLES, MO 63301-2747
(636) 699-0872
Mailing address
921 TIMBERWOOD CROSSING CT, FLORISSANT, MO 63031-7518
(314) 803-0280
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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