Individual
ERIKA KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., LPC
Contact information
Practice address
4142 KEATON CROSSING BLVD STE 101, O FALLON, MO 63368-8406
(636) 300-9333
(636) 300-8761
Mailing address
4142 KEATON CROSSING BLVD STE 101, O FALLON, MO 63368-8406
(636) 300-9333
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2019007334
MO
Other
Enumeration date
05/07/2019
Last updated
10/06/2021
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