Provider Demographics
NPI:1366964611
Name:HUDSON, EMILY (ND, LPC)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:HUDSON
Suffix:
Gender:F
Credentials:ND, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8001 CLAYTON RD STE D
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:MO
Mailing Address - Zip Code:63117-1157
Mailing Address - Country:US
Mailing Address - Phone:314-626-0271
Mailing Address - Fax:314-255-2379
Practice Address - Street 1:8001 CLAYTON RD STE D
Practice Address - Street 2:
Practice Address - City:CLAYTON
Practice Address - State:MO
Practice Address - Zip Code:63117-1157
Practice Address - Country:US
Practice Address - Phone:314-626-0271
Practice Address - Fax:314-255-2379
Is Sole Proprietor?:No
Enumeration Date:2017-07-07
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR5046175F00000X
MO2019002022101YP2500X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No175F00000XOther Service ProvidersNaturopath