Organization
KELLY O'DONNELL COUNSELING, LLC
Active
Organization
KELLY O'DONNELL COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY BETH O'DONNELL LCSW (LICENSED CLINICAL SOCIAL WORKER)
(314) 643-8224
Entity
Organization
Contact information
Practice address
456 N NEW BALLAS RD STE 369, SAINT LOUIS, MO 63141-6846
(314) 643-8224
Mailing address
456 N NEW BALLAS RD STE 369, SAINT LOUIS, MO 63141-6846
(314) 643-8224
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2015039713
MO
Other
Enumeration date
11/14/2016
Last updated
11/14/2016
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