Individual
MRS. KATHIA DENISE BETTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,LPC
Contact information
Practice address
3309 S. KINGSHIGHWAY BLVD., ST.LOUIS, MO 63139
(314) 534-9350
(314) 533-6047
Mailing address
3309 S. KINGSHIGHWAY BLVD., ST.LOUIS, MO 63139
(314) 534-9350
(314) 533-6047
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CS001525
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CS001525
LICENSE
MO
Enumeration date
12/12/2006
Last updated
07/08/2007
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