Individual
MS. KELLY CRISMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11102 LINDBERGH BUSINESS CT, SAINT LOUIS, MO 63123-7810
(314) 206-3400
Mailing address
3309 S KINGSHIGHWAY BLVD, SAINT LOUIS, MO 63139-1101
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
9880
MO
104100000X
Social Worker
Primary
2017001452
MO
Other
Enumeration date
06/02/2017
Last updated
02/27/2026
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