COLLEEN MATLOCK

SAINT LOUIS, MO
NPI1083143721
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: MO  2013042521)
Enumeration Date2017-06-07
Last Update Date2017-06-07
Business Address
COLLEEN MATLOCK MA LPC
10845 OLIVE BLVD
SAINT LOUIS, MO 63141-7760
Phone number: 314-561-6757
Mailing Address
COLLEEN MATLOCK MA LPC
7011 SUTHERLAND AVE
SAINT LOUIS, MO 63109-1919
Phone number: 314-807-7354