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Mr. Michael Jerome Williams, LPC
Massage Therapist in Saint Louis, Missouri
NPI 1841343662

Michael Jerome Williams is a Massage Therapist based in Saint Louis, MO. Michael Jerome Williams practices in Saint Louis, MO and has the professional credentials of LPC. The NPI Number for Michael Jerome Williams is 1841343662 and holds a License No. 000331 (Missouri).

The current practice location address for Michael Jerome Williams is 9155 Hemis Fair Dr, Saint Louis, MO and can be reached out via phone at 314-898-5218.

Location: 9155 Hemis Fair Dr, Saint Louis, MO, 63136-4006
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841343662
Provider Name
Michael Jerome Williams
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
9155 Hemis Fair Dr, Saint Louis, MO, 63136-4006
Phone Number
314-898-5218
Fax Number
Provider Enumeration Date
01/18/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
493267322 05 MO
institution
Provider Business Practice Location Address Details
Address
9155 Hemis Fair Dr
City
Saint Louis
State
Missouri
Zip
63136-4006
Phone Number
314-898-5218
Fax Number
person
Provider Business Mailing Address Details
Address
9155 Hemis Fair Dr
City
Saint Louis
State
Missouri
Zip
63136-4006
Phone Number
314-898-5218
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
2004003080 (Missouri)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
000331 (Missouri)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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