Individual
KATHLEEN A PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
9200 WATSON RD, STE G101, SAINT LOUIS, MO 63126-1528
(314) 367-5500
(314) 843-0552
Mailing address
9200 WATSON RD, STE G101, SAINT LOUIS, MO 63126-1528
(314) 367-5500
(314) 843-0552
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2008035991
MO
Other
Enumeration date
10/12/2009
Last updated
10/12/2009
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