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Individual

MS. CAROL A KRENTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
L.P.C.

Contact information

Practice address
201 S SKINKER BLVD, SAINT LOUIS, MO 63105-2317
(314) 882-0495
Mailing address
1800 SHADYWOOD CT, CHESTERFIELD, MO 63017-5440
(314) 882-0495

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2009000560
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2009000560
LICENSE NUMBER FOR LPC
MO
Enumeration date
10/18/2011
Last updated
10/18/2011
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