Individual
LAURA VINTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8008 CARONDELET AVE STE 308, CLAYTON, MO 63105-1724
(618) 795-0639
Mailing address
713 WILLOW SPRING HILL DR, FAIRVIEW HEIGHTS, IL 62208-2069
(618) 795-0639
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2021006574
MO
Other
Enumeration date
03/08/2021
Last updated
03/08/2021
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