Individual
KRISTA SHOCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. ED., LPC
Contact information
Practice address
14323 S OUTER 40 RD STE 512S, TOWN AND COUNTRY, MO 63017-5734
(314) 526-0575
Mailing address
14323 S OUTER 40 RD STE 512S, TOWN AND COUNTRY, MO 63017-5734
(314) 526-0575
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2011033848
MO
Other
Enumeration date
01/14/2014
Last updated
07/16/2019
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