Organization
KM GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNTH MCCAIN LPC (LEAD COUNSELOR)
(314) 956-0547
Entity
Organization
Contact information
Practice address
4390 LINDELL BLVD, SAINT LOUIS, MO 63108-2735
(314) 956-0547
Mailing address
4390 LINDELL BLVD, SAINT LOUIS, MO 63108-2735
(314) 956-0547
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2015010117
MO
Other
Enumeration date
11/05/2015
Last updated
11/05/2015
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