Individual
KATHLEEN A PATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA,LPC
Contact information
Practice address
4132 KEATON CROSSING BLVD, STE 201, O FALLON, MO 63368-8222
(636) 244-3589
(636) 244-3594
Mailing address
4132 KEATON CROSSING BLVD, STE 201, O FALLON, MO 63368-8222
(636) 244-3589
(636) 244-3594
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2006015567
MO
Other
Enumeration date
07/23/2013
Last updated
07/23/2013
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