Individual
KEVIN JON KOHNKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
255 SPENCER RD, SAINT PETERS, MO 63376-2494
(636) 939-2550
(636) 939-2551
Mailing address
255 SPENCER RD, SAINT PETERS, MO 63376-2494
(636) 939-2550
(636) 939-2551
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
4832
NE
101YP2500X
Professional Counselor
Primary
2022011914
MO
Other
Enumeration date
03/23/2022
Last updated
06/22/2023
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