Provider Demographics
NPI:1922318245
Name:PARAMORE, SONYA (MA, LPC)
Entity Type:Individual
Prefix:
First Name:SONYA
Middle Name:
Last Name:PARAMORE
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1480 WOODSTONE DRIVE
Mailing Address - Street 2:SUITE 211
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63304
Mailing Address - Country:US
Mailing Address - Phone:636-697-2560
Mailing Address - Fax:
Practice Address - Street 1:1480 WOODSTONE DRIVE
Practice Address - Street 2:SUITE 211
Practice Address - City:SAINT CHARLES
Practice Address - State:MO
Practice Address - Zip Code:63304
Practice Address - Country:US
Practice Address - Phone:636-697-2560
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-20
Last Update Date:2010-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2007022552101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional