Individual
KEVIN HERBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1600 HERITAGE LNDG STE 201, SAINT PETERS, MO 63303-8488
(636) 219-5432
Mailing address
1527 OAKLAND HILLS DR, O FALLON, MO 63366-5569
(636) 219-5432
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2011024362
MO
101YM0800X
Mental Health Counselor
2011024362
MO
101YP2500X
Professional Counselor
2011024362
MO
Other
Enumeration date
11/08/2012
Last updated
09/25/2018
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