Organization
KIBOU COUNSELING SERVICES INTERNATIONAL LLC
Active
Other names
Kibouc Counseling and Mentoring Services International LLC
Organization subpart
No
Provider details
NPI number
Authorized official
AMYRUTH GREGORY BARTLETT LLC (OWNER/MEMBER/THERAPIST)
(314) 520-8167
Entity
Organization
Contact information
Practice address
201 S SKINKER BLVD, SAINT LOUIS, MO 63105-2317
(314) 520-8167
Mailing address
4921 MURDOCH AVE, SAINT LOUIS, MO 63109-2944
(314) 520-8167
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2008031874
MO
Other
Enumeration date
02/06/2013
Last updated
02/06/2013
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