Individual
CAMEO HOLLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1426 WRIGHT ST, SAINT LOUIS, MO 63107-3827
(314) 667-5255
Mailing address
719 STONEWOOD BEND DR, LAKE SAINT LOUIS, MO 63367-4064
(573) 514-2128
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/20/2023
Last updated
10/10/2024
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