Rutlin, Jerisha Lacrae

Rutlin, Jerisha Lacrae is an sole proprietor health care provider with primary practice located at 1872 Woodhollow Dr Apt 211 , Maryland Heights MO 63043-3957. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Rutlin, Jerisha Lacrae can be contacted via phone (314) 625-6070.

Contact Information

Primary practice address
1872 Woodhollow Dr Apt 211 Maryland Heights MO 63043-3957
Phone: (314) 625-6070
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2015006047 Missouri

Profile Details

NPI number 1710498167
LBN Legal business name Rutlin, Jerisha Lacrae
Credentials LPC, NCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2017
Last updated Dec 22nd, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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