Individual
OSEGI LA HEI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11709 OLD BALLAS RD STE 203, CREVE COEUR, MO 63141-7029
(314) 956-5531
Mailing address
6334 PETERS CREEK RD, ROANOKE, VA 24019-4024
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CTB-2026-0117
NM
101YM0800X
Mental Health Counselor
Primary
0704017671
VA
Other
Enumeration date
01/17/2025
Last updated
02/11/2026
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