Individual
KENYATTA COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13100 MANCHESTER RD STE 155, DES PERES, MO 63131-1703
(314) 394-1171
Mailing address
13100 MANCHESTER RD STE 155, DES PERES, MO 63131-1703
(314) 394-1171
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/26/2020
Last updated
08/07/2025
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