Individual
MS. ALICE K KINSELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
533 LAFAYETTE AVE, WEBSTER GROVES, MO 63119-1860
(314) 339-6746
Mailing address
533 LAFAYETTE AVE, WEBSTER GROVES, MO 63119-1860
(314) 412-3375
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2001001547
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528198553
—
MO
05
—
495303208
—
MO
Enumeration date
03/07/2007
Last updated
02/15/2017
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