Individual
ALEXIS THURSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1804 LAFAYETTE AVE, SAINT LOUIS, MO 63104-2508
(314) 296-3222
Mailing address
1804 LAFAYETTE AVE, SAINT LOUIS, MO 63104-2508
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2024024922
MO
Other
Enumeration date
10/03/2024
Last updated
10/03/2024
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