Individual
KELLEY ANN MOUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD LPC
Contact information
Practice address
1600 HERITAGE LANDING, SUITE 116, ST PETERS, MO 63303
(636) 345-1400
(636) 441-3262
Mailing address
1600 HERITAGE LANDING, SUITE 116, ST. PETERS, MO 63303
(636) 345-1400
(636) 441-3262
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002586
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
493840425
—
MO
Enumeration date
09/22/2006
Last updated
04/28/2010
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