Organization
MINISTERING AMONG RIGHTEOUS YOUTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHANNEL GENISE THOMAS M.ED,PLPC,NBCC,LLC (THERAPIST)
(314) 565-1110
Entity
Organization
Contact information
Practice address
10451 ROYAL DR, SAINT LOUIS, MO 63136-6039
(314) 565-1110
Mailing address
9615 DURHAM DR, SAINT LOUIS, MO 63137-1353
(314) 565-1110
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
MO
Other
Enumeration date
09/11/2017
Last updated
09/11/2017
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