Organization
CHRISTIAN COUNSELING OF ST. LOUIS,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY DILLER LPC, MAC (COUNSELOR & OWNER)
(314) 374-5000
Entity
Organization
Contact information
Practice address
12015 MANCHESTER RD STE 137, SAINT LOUIS, MO 63131-4417
(314) 374-5000
Mailing address
1304 BANSBACH RD, SAINT LOUIS, MO 63131-4002
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/15/2019
Last updated
01/15/2019
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