Individual
MS. KIMBERLY ELAINE KEEGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., LPC
Contact information
Practice address
12813 FLUSHING MEADOWS DR STE 140, SAINT LOUIS, MO 63131-1835
(314) 504-5515
Mailing address
12813 FLUSHING MEADOWS DR, SUITE 140, SAINT LOUIS, MO 63131-1835
(314) 504-5515
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
000219
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
431539621
TAX IDENTIFICATION NUMBER
MO
Enumeration date
01/30/2006
Last updated
07/11/2025
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