Individual
MRS. KELLI ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, LPC
Contact information
Practice address
6106 KENSINGTON COURT, IMPERIAL, MO 63052
(314) 602-9207
(636) 223-0905
Mailing address
6106 KENSINGTON COURT, IMPERIAL, MO 63052
(314) 602-9207
(636) 223-0905
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2010009618
MO
Other
Enumeration date
11/01/2011
Last updated
11/01/2011
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