Individual
MARY LAKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4405 ACACIA RD, WILDWOOD, MO 63025-1244
(314) 378-5500
Mailing address
4405 ACACIA RD, WILDWOOD, MO 63025-1244
(314) 378-5500
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2018030574
MO
Other
Enumeration date
01/30/2021
Last updated
01/30/2021
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