Individual
KEITH R. CLEMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
4231 LACLEDE AVE, SAINT LOUIS, MO 63108-2814
(314) 276-5622
Mailing address
4231 LACLEDE AVE, SAINT LOUIS, MO 63108-2814
(314) 276-5622
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2000165547
MO
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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