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Individual

KELLE RENNE PARTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
206 CENTRE ON THE LK, LAKE ST LOUIS, MO 63367-1370
(636) 466-5287
(636) 625-1633
Mailing address
1557 REVERES RIDE, O FALLON, MO 63366-5515
(636) 466-5287

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2015010598
MO

Other

Enumeration date
08/23/2017
Last updated
08/23/2017
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