Individual
MRS. JEANNINE LISA LIEBMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA. LPC
Contact information
Practice address
791 NEW BEGINNINGS DR., PACIFIC, MO 63069
(314) 537-3548
Mailing address
313 WALLOCH DR., EUREKA, MO 63025
(314) 537-3548
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2005030086-LICENSED
MO
Other
Enumeration date
01/27/2010
Last updated
01/27/2010
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