Jazell Dailey Thomas, LPC,NCC Valid NPI
Individual provider · Professional Counselor · Bridgeton, MO
- NPI
- 1578126132
- Type
- Individual (Type 1)
- Primary specialty
- Professional Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YP2500X
- License number
- 2018029057 (MO)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2019-04-19
- Last updated
- 2019-04-19
Practice location
11520 Saint Charles Rock Rd Ste 103
Bridgeton, MO 63044-2732
(314) 312-2551