| Doctor Name: | MARY JO PRICE |
| NPI Number: | 1891842860 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 2002032337 |
| Business Practice Address: | 4801 Weldon Spring Pkwy Ste. 300 Weldon Spring, MO - 633049101 |
| Business Phone Number: | 6369495760 |
| Business Fax Number: | 6369490729 |
| Mailing Address: | 4801 Weldon Spring Pkwy, Ste. 300 WELDON SPRING |
| State: | MO |
| Postal Code: | 633049101 |
| Phone Number: | 6369495760 |
| Fax Number: | 6369490729 |
| NPI Enumeration Date: | 01/04/2007 |
| NPI Last Update Date: | 10/14/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 2002032337 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |