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Alexia Nicole Lata
Mental Health Counselor in Bridgeton, Missouri
NPI 1629582143

Alexia Nicole Lata is a Mental Health Counselor based in Saint Louis, MO and is specialized in Mental Health. Alexia Nicole Lata practices in Bridgeton, MO. The NPI Number for Alexia Nicole Lata is 1629582143 and holds a License No. (Missouri).

The current practice location address for Alexia Nicole Lata is 3165 Mckelvey Rd, Bridgeton, MO and can be reached out via phone at 314-206-3900.

Location: 3165 Mckelvey Rd, Bridgeton, MO, 63132-2026
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629582143
Provider Name
Alexia Nicole Lata
Credential
Provider Entity Type
Individual
Gender
Female
Address
3165 Mckelvey Rd, Bridgeton, MO, 63132-2026
Phone Number
314-206-3900
Fax Number
Provider Enumeration Date
11/20/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3165 Mckelvey Rd
City
Bridgeton
State
Missouri
Zip
63044-2550
Phone Number
314-206-3900
Fax Number
person
Provider Business Mailing Address Details
Address
3165 Mckelvey Rd
City
Bridgeton
State
Missouri
Zip
63044-2550
Phone Number
314-206-3900
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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