Individual
HALISI MUHAMMAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
5595 PAGE BLVD, SAINT LOUIS, MO 63112-4118
(314) 503-6248
(949) 655-8524
Mailing address
6322 VIRGINIA AVE, SAINT LOUIS, MO 63111-2434
(314) 397-9661
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2014007785
MO
Other
Enumeration date
03/25/2014
Last updated
09/27/2020
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