person
Enisa Balogun
Mental Health Counselor in St Louis, Missouri
NPI 1013582196

Enisa Balogun is a Mental Health Counselor based in St Louis, MO and is specialized in Mental Health. Enisa Balogun practices in St Louis, MO. The NPI Number for Enisa Balogun is 1013582196 and holds a License No. 2018038960 (Missouri).

The current practice location address for Enisa Balogun is 1349 Macklind Ave, St Louis, MO and can be reached out via phone at 314-648-7800. You can also correspond with Enisa Balogun through the mailing address at 1349 MACKLIND AVE, ST LOUIS, MO - 63110 (mailing address contact number: 314-648-7800).

Location: 1349 Macklind Ave, St Louis, MO, 63110
person
Provider Profile Details
NPI Number
1013582196
Provider Name
Enisa Balogun
Credential
Provider Entity Type
Individual
Gender
Female
Address
1349 Macklind Ave, St Louis, MO, 63110
Phone Number
314-648-7800
Fax Number
Provider Enumeration Date
05/21/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1349 Macklind Ave
City
State
Zip
63110
Phone Number
314-648-7800
Fax Number
person
Provider Business Mailing Address Details
Address
1349 Macklind Ave
City
State
Zip
63110
Phone Number
314-648-7800
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
2018038960 (Missouri)
Definition
Definition to come...
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