Individual
KEIRA LYNN FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
150 SAINT PETERS CENTRE BLVD STE B, SAINT PETERS, MO 63376-1653
(636) 466-8497
(636) 244-1171
Mailing address
150 SAINT PETERS CENTRE BLVD STE B, SAINT PETERS, MO 63376-1653
(636) 466-8497
(636) 244-1171
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2026019541
MO
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
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