Individual
KIMBERLY CAPPETTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4567 W PINE BLVD APT 710, SAINT LOUIS, MO 63108-2192
(314) 406-8786
Mailing address
4567 W PINE BLVD APT 710, SAINT LOUIS, MO 63108-2192
(314) 406-8786
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2018026579
MO
Other
Enumeration date
10/01/2020
Last updated
10/01/2020
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