Individual
KIMBERLEY MCGUINESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
249 LAMP AND LANTERN VILLAGE, TOWN AND COUNTRY, MO 36017
(314) 283-7617
Mailing address
13037 WHEATFIELD FARM RD, SAINT LOUIS, MO 63141-8546
(314) 283-7617
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2019003417
MO
390200000X
Student in an Organized Health Care Education/Training Program
2019003417
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
PRIVATE PAY PRACTICE
MO
Enumeration date
04/13/2020
Last updated
11/27/2023
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