Individual
AMANDA L WOOLLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
4121 UNION RD STE 219, SAINT LOUIS, MO 63129-1070
(314) 730-6787
(314) 730-6585
Mailing address
8539 TALMA CT, SAINT LOUIS, MO 63123-3633
(618) 604-8326
(314) 730-6585
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
180007838
IL
101YP2500X
Professional Counselor
Primary
2013012287
MO
Other
Enumeration date
10/14/2011
Last updated
11/30/2016
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