Individual
ANDY KERCKHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PLPC
Contact information
Practice address
4171 CRESCENT DR STE 202, SAINT LOUIS, MO 63129-3645
(314) 662-6122
Mailing address
4171 CRESCENT DR STE 202, SAINT LOUIS, MO 63129-3645
(314) 662-6122
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2019016758
MO
Other
Enumeration date
03/22/2021
Last updated
03/22/2021
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