| Doctor Name: | MRS. ROSALIE MARIE DUVALL |
| NPI Number: | 1558505099 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC, MT-BC |
| License Number: | 002791 |
| Business Practice Address: | 12015 Manchester Rd Suite 102 Des Peres, MO - 631314423 |
| Business Phone Number: | 3148538218 |
| Business Fax Number: | |
| Mailing Address: | 12015 Manchester Rd, Suite 102 DES PERES |
| State: | MO |
| Postal Code: | 631314423 |
| Phone Number: | 3148538218 |
| Fax Number: | |
| NPI Enumeration Date: | 04/28/2009 |
| NPI Last Update Date: | 04/28/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 002791 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |