Individual
LINDSEY DE JONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
478 COVENANT LN, SAINT LOUIS, MO 63141-8629
(314) 717-1265
Mailing address
6436 ALAMO AVE, CLAYTON, MO 63105-3151
(239) 357-7537
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2013004021
MO
Other
Enumeration date
11/26/2017
Last updated
11/26/2017
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