Individual
KIRSTEN L CHODRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3309 S KINGSHIGHWAY BLVD, SAINT LOUIS, MO 63139-1101
(314) 206-3700
Mailing address
3309 S KINGSHIGHWAY BLVD, SAINT LOUIS, MO 63139-1101
(314) 206-3700
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
1998
MS
101YP2500X
Professional Counselor
Primary
2018013555
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2018013555
LPC
MO
Enumeration date
08/12/2013
Last updated
12/06/2023
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