Individual
MRS. KASSANDRA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CIT, LPC
Contact information
Practice address
1032 CROSSWINDS CT, WENTZVILLE, MO 63385-4836
(844) 853-8937
Mailing address
1369 MASON GROVE DR, SAINT CHARLES, MO 63304-2666
(507) 250-1817
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2023012405
MO
101YP2500X
Professional Counselor
Primary
2023012405
MO
Other
Enumeration date
08/23/2022
Last updated
12/19/2024
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