Individual
SHANNON AMBLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1310 HRC PLAZA DR, LAKE ST LOUIS, MO 63367-1869
(636) 339-4475
Mailing address
554 CLAYBINE DR APT 554A, KIRKWOOD, MO 63122-5907
(314) 562-6516
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/26/2024
Last updated
12/26/2024
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