Provider Demographics
NPI:1629581897
Name:THORNTON, RASHONDA (LPC)
Entity Type:Individual
Prefix:
First Name:RASHONDA
Middle Name:
Last Name:THORNTON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 BRITAIN WAY
Mailing Address - Street 2:
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63304-8750
Mailing Address - Country:US
Mailing Address - Phone:314-956-6811
Mailing Address - Fax:
Practice Address - Street 1:4650 MEXICO RD
Practice Address - Street 2:
Practice Address - City:SAINT PETERS
Practice Address - State:MO
Practice Address - Zip Code:63376-1607
Practice Address - Country:US
Practice Address - Phone:314-956-6811
Practice Address - Fax:800-865-6832
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-09
Last Update Date:2020-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2016037556101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health