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Individual

MRS. KAITLYN POMERLEAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC, MS

Contact information

Practice address
19515 BRUNE PKWY, WARRENTON, MO 63383-6505
(888) 403-1071
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2018027684
MO
101YP2500X
Professional Counselor
Primary
2018027684
MO

Other

Enumeration date
04/30/2015
Last updated
08/28/2023
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