Individual
KATHLEEN SUDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN-PLPC
Contact information
Practice address
2848 ELK PEAK CT, SAINT LOUIS, MO 63129-5706
(314) 846-6814
(314) 846-6814
Mailing address
2848 ELK PEAK CT, SAINT LOUIS, MO 63129-5706
(314) 846-6814
(314) 846-6814
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2007025784
MO
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
062430
MO
Other
Enumeration date
03/28/2007
Last updated
05/05/2008
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