Individual
GABRIELLE DE LUCCA VICENTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3892 WYOMING ST, SAINT LOUIS, MO 63116-4841
(636) 219-7950
Mailing address
3892 WYOMING ST, SAINT LOUIS, MO 63116-4841
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
Primary
2026010645
MO
Other
Enumeration date
07/11/2023
Last updated
03/26/2026
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