Individual
KATHLEEN PATRICIA KELLY-DISHNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., LPC
Contact information
Practice address
5355 DELMAR BLVD, SAINT LOUIS, MO 63112-3146
(314) 932-7110
Mailing address
5355 DELMAR BLVD, SAINT LOUIS, MO 63112-3146
(314) 932-7110
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2008018990
MO
Other
Enumeration date
09/12/2012
Last updated
09/12/2012
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