Search › Missouri › 101YP2500X
Colleen Matlock, MA LPC
NPI 1083143721 · on the registry since 2017 · sole proprietor
Practice
- Address
- 10845 Olive Blvd
Saint Louis, MO 63141 - Phone
- (314) 561-6757
- Organisation at this address
- Jeremy Shuman, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 11
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-06-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri