Jerisha Lacrae Rutlin, LPC, NCC
NPI #1710498167 in Maryland Heights, Missouri
Provider Information
- NPI Number
- 1710498167
- Entity Type
- Individual
- Name
- Jerisha Lacrae Rutlin, LPC, NCC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- LPC, NCC
- Enumeration Date
- Oct 12, 2017
- Last Updated
- Dec 22, 2022
Practice Location
- Address
- 1872 WOODHOLLOW DR APT 211
- City
- Maryland Heights
- State
- Missouri
- ZIP Code
- 63043-3957
- Phone
- (314) 625-6070
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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