| NPI | 1215123534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE JARVIS Lpc/Owner 314-579-9766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 002396) |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2007-09-20 |