Individual
KENNEDY BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, PLPC, NCC
Contact information
Practice address
6218 SOUTHWOOD AVE APT 2W, SAINT LOUIS, MO 63105-3231
(316) 677-0494
Mailing address
6218 SOUTHWOOD AVE APT 2W, SAINT LOUIS, MO 63105-3231
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2024025150
MO
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
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