Individual
MR. GARY C KITTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, LPC
Contact information
Practice address
3524 OSAGE BEACH PKWY STE 6, OSAGE BEACH, MO 65065-5622
(660) 826-7909
(660) 826-6737
Mailing address
3524 OSAGE BEACH PKWY STE 6, OSAGE BEACH, MO 65065-5622
(660) 826-7909
(660) 826-6737
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
001344
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19749011
BLUE CROSS / BLUE SHIELD
MO
05
—
493658504
—
MO
Enumeration date
10/24/2005
Last updated
11/02/2023
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