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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JERISHA LACRAE RUTLIN, LPC, NCC

Active Sole Proprietor

JERISHA LACRAE RUTLIN, LPC, NCC is a Mental Health Counselor healthcare provider located in MARYLAND HEIGHTS, Missouri. NPI 1710498167 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · MARYLAND HEIGHTS, MO

Registration Details

NPI Number
1710498167
Provider Type
Individual
Gender
Female
NPI Issued
Oct 12, 2017 (8.8002486448762 yrs)
Last Updated
Dec 22, 2022
License
2015006047 (MO)
Sole Proprietor
Yes

Practice Information

Address
1872 WOODHOLLOW DR APT 211
MARYLAND HEIGHTS, MO, 630433957
Browse MO providers · Browse ZIP 63043
Phone
3146256070
Primary Specialty
Mental Health Counselor
101YM0800X

Other Mental Health Counselor Providers in MARYLAND HEIGHTS, MO

Name Credential NPI
MS. KAREN ALICE HATHAWAY MA, LPC 1578694949
MRS. KAREN MICHELLE SPENGEL LPC 1861682213
MISS LINDSAY SHAW MCCUTCHEON LMFT 1801366224
MS. SHAWN STACEY HOLLIMAN MA 1427521608
HEATHER MARIE NAUGHTON LPC 1083342455
MS. JASMINE L PETERSON MA, PLPC 1043093172
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.