Individual
KRISTEN GRINDSTAFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11133 DUNN RD, STE 1103, ST. LOUIS, MO 63136
(618) 580-0048
Mailing address
211 LORETTA LN, GODFREY, IL 62035-2456
(618) 580-0048
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
149020639
IL
Other
Enumeration date
05/04/2020
Last updated
03/21/2023
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