Individual
MRS. KELLIE CHRISTINE CAPOTORTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2025 S BRENTWOOD BLVD, SAINT LOUIS, MO 63144-1833
(314) 706-1526
Mailing address
108 BIRCHWOOD TRAIL DR, MARYLAND HEIGHTS, MO 63043-5114
(314) 941-0824
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2013038842
MO
101YM0800X
Mental Health Counselor
2013038842
MO
101YP2500X
Professional Counselor
Primary
2013038842
MO
101YS0200X
School Counselor
2013038842
MO
Other
Enumeration date
09/02/2022
Last updated
09/02/2022
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