Mudar Soufian Ismail, PLPC
Mudar Soufian Ismail, PLPC is a Professional Counselor in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2024.
- Licensed in
- MO
- In the registry since
- 2024
Practice location Address checks out
4030 Chouteau Ave Ste 700Saint Louis, MO 63110-1754
Phone: (314) 680-9374
Fax: (314) 645-7802
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Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence 2024010478 (MO) |
|---|
Record details
| NPI number | 1306674890 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PLPC |
| Sole proprietor | No |
| NPI enumerated | July 25, 2024 |
| Last updated in NPPES | July 25, 2024 |
| Certification date | July 25, 2024 |
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