Individual
MRS. KAREN L MEMHARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAED PLPC
Contact information
Practice address
930 KEHRS MILL RD, SUITE 325-1, BALLWIN, MO 63011-2462
(314) 614-5079
Mailing address
530 BEACON POINT LN, WILDWOOD, MO 63040-1810
(314) 614-5079
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2010041725
MO
101YP2500X
Professional Counselor
Primary
2010041725
MO
Other
Enumeration date
03/01/2013
Last updated
03/01/2013
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