Individual
DR. KIRSTEN LAMANTIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., LPC
Contact information
Practice address
654 S SPRING ST, APT G, CAPE GIRARDEAU, MO 63703-8421
(708) 557-0971
Mailing address
654 S SPRING ST, APT G, CAPE GIRARDEAU, MO 63703-8421
(708) 557-0971
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2015028012
MO
Other
Enumeration date
09/28/2015
Last updated
09/28/2015
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