Individual
MRS. LARA CHRISTINE KELSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
10306 BUSINESS 21, HILLSBORO, MO 63050-5712
(636) 797-1354
Mailing address
12138 FOXWOODS DR, DE SOTO, MO 63020-3279
(314) 608-1659
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2017041276
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2017041276
LPC
MO
Enumeration date
12/29/2022
Last updated
12/29/2022
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