Individual
MR. KENNETH JAMES HERLIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
8420 DELMAR BLVD., SUITE 209, ST LOUIS, MO 63124
(314) 517-2124
(314) 983-0331
Mailing address
8420 DELMAR BLVD., SUITE 209, ST LOUIS, MO 63124
(314) 517-2124
(314) 983-0331
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001891
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34375
NATL BOARD CERT COUNSELOR
—
Enumeration date
06/12/2006
Last updated
04/15/2010
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