Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MAYRA VELASCO
ActiveCounselor · EAST SAINT LOUIS, IL
Registration Details
- NPI Number
- 1720322662
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 15, 2012 (13.472226363932 yrs)
- Last Updated
- Nov 15, 2012
Practice Information
- Address
-
5601 STATE STEAST SAINT LOUIS, IL, 622031346Browse IL providers · Browse ZIP 62203
- Phone
- 6182133170
- Fax
- 6182133171
- Primary Specialty
-
Counselor
101Y00000X
Other Counselor Providers in EAST SAINT LOUIS, IL
| Name | Credential | NPI |
|---|---|---|
| MARILYN HOLMES | MA, LPC, ATR-P | 1558029207 |
| TIMOTHY J KELLY | MA, LCPC | 1720746308 |
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.