Individual
CANDACE JO KILPATRIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
1329 MACKLIND AVE, SAINT LOUIS, MO 63110-1403
(314) 249-8081
Mailing address
1329 MACKLIND AVE, SAINT LOUIS, MO 63110-1403
(314) 249-8081
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2019009362
MO
Other
Enumeration date
02/11/2021
Last updated
02/11/2021
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