Individual
SHANNON KELLY KOENIGSFELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
2002 WYOMING ST, SAINT LOUIS, MO 63118-2525
(314) 769-5283
Mailing address
2002 WYOMING ST, SAINT LOUIS, MO 63118-2525
(314) 769-5283
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2023006983
MO
Other
Enumeration date
04/05/2023
Last updated
04/05/2023
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