Individual
MS. KIRA JENNELLE GILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
995 W RUE DE LA BANQUE APT I, CREVE COEUR, MO 63141-5111
(314) 620-3511
Mailing address
995 W RUE DE LA BANQUE APT I, SAINT LOUIS, MO 63141-5111
(314) 620-3511
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2015000707
MO
104100000X
Social Worker
—
MO
Other
Enumeration date
07/29/2006
Last updated
03/16/2015
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