Individual
AMANDA MAISEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
10805 SUNSET OFFICE DR, SAINT LOUIS, MO 63127-1017
(314) 909-8484
(314) 909-8485
Mailing address
10805 SUNSET OFFICE DR, SAINT LOUIS, MO 63127-1017
(314) 909-8484
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2013011422
MO
Other
Enumeration date
06/17/2015
Last updated
08/21/2015
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