Individual
MS. BRIDGET MARIE KIELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
1034 S BRENTWOOD BLVD STE 555, SAINT LOUIS, MO 63117-1265
(314) 649-8319
Mailing address
1034 S BRENTWOOD BLVD STE 555, SAINT LOUIS, MO 63117-1265
(314) 649-8319
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2017021150
MO
Other
Enumeration date
10/31/2017
Last updated
08/27/2019
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