Individual
MRS. KATHY RENEE COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
9378 OLIVE BLVD, SUITE 312, SAINT LOUIS, MO 63132-3215
(314) 229-5264
Mailing address
9378 OLIVE BLVD, SUITE 312, SAINT LOUIS, MO 63132-3215
(314) 229-5264
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2009006810
MO
Other
Enumeration date
09/01/2010
Last updated
09/01/2010
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