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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