| Child And Adolescent Life Therapy | |
|
4390 Lindell Blvd Ste 200 Saint Louis MO 63108-2735 | |
| () - | |
| Not Available |
| Full Name | Child And Adolescent Life Therapy |
|---|---|
| Speciality | Counselor - Professional |
| Location | 4390 Lindell Blvd Ste 200, Saint Louis, Missouri |
| Authorized Official Name and Position | Courtney L Luster (MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 3144408468 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Child And Adolescent Life Therapy 4390 Lindell Blvd Ste 200 Saint Louis MO 63108-2735 Ph: (314) 744-9002 | Child And Adolescent Life Therapy 4390 Lindell Blvd Ste 200 Saint Louis MO 63108-2735 Ph: () - |
| NPI Number | 1639736515 |
|---|---|
| Provider Enumeration Date | 05/25/2019 |
| Last Update Date | 05/25/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639736515 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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