Individual
SYDNEY MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
4142 KEATON CROSSING BLVD STE 101, O FALLON, MO 63368-8406
(636) 300-9333
Mailing address
4142 KEATON CROSSING BLVD STE 101, O FALLON, MO 63368-8406
(636) 300-9333
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
202439503
MO
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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