Individual
JEHAN GANACHAUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, NCC, PLPC
Contact information
Practice address
1167 CORPORATE LAKE DR, SAINT LOUIS, MO 63132-1716
(314) 968-2350
Mailing address
4514 CAMBROOK DR, SAINT CHARLES, MO 63304-8712
(314) 560-2139
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2020011798
MO
Other
Enumeration date
05/01/2020
Last updated
05/18/2020
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