Individual
KRISTIN WHITWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 N MILL ST, FESTUS, MO 63028-1816
(636) 931-2700
Mailing address
227 MAIN ST, FESTUS, MO 63028-1952
(636) 931-2700
(636) 931-5304
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
2017030551
MO
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
08/24/2017
Last updated
06/06/2023
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