Individual
JESSICA CANTRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
508 N TRUMAN BLVD STE H, CRYSTAL CITY, MO 63019-1344
(636) 465-9006
Mailing address
358 MEADOW WOOD DR, FESTUS, MO 63028-2041
(636) 465-9006
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2015013402
MO
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
03/05/2015
Last updated
02/07/2025
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