MISTIE ANN TENNANT

BELLEVILLE, IL
NPI1265066880
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IL  180.012771)
Enumeration Date2020-02-24
Last Update Date2023-03-16
Business Address
MISTIE ANN TENNANT LCPC
115 LINCOLN PLACE CT STE 102
BELLEVILLE, IL 62221
Phone number: 314-643-8664
Mailing Address
MISTIE ANN TENNANT LCPC
115 LINCOLN PLACE CT STE 102
BELLEVILLE, IL 62221-5876
Phone number: 314-643-8664
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