Jada Rosemary Mutic, LPC

NPI #1811234172 in Creve Coeur, Missouri

Provider Information

NPI Number: 1811234172
Entity Type: Individual
Name: Jada Rosemary Mutic, LPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Credential: LPC
Enumeration Date: Jan 7, 2013
Last Updated: Jan 7, 2013

Practice Location

Address: 11207 MOSLEY HILL DR
City: Creve Coeur
State: Missouri
ZIP Code: 63141-7622
Phone: (314) 993-3481

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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