Individual
KENNETH MINDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11144 TESSON FERRY RD STE 101, SAINT LOUIS, MO 63123-6965
(314) 729-1200
(314) 729-1201
Mailing address
11144 TESSON FERRY RD STE 101, SAINT LOUIS, MO 63123-6965
(314) 729-1200
(314) 729-1201
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2023034746
MO
Other
Enumeration date
09/26/2023
Last updated
09/26/2023
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