Individual
MRS. KRISTEN T CARRICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
THERAPIST
Contact information
Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 652-4100
Mailing address
34 TIMBER OAK DR, O FALLON, IL 62269-4243
(318) 426-5306
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/17/2022
Last updated
10/17/2022
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