Individual
KIERRA CONDOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5501 DELMAR BLVD STE B300, SAINT LOUIS, MO 63112-3078
(314) 469-4908
Mailing address
407 KENNER AVE, KENNER, LA 70062-7134
(504) 669-9530
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
LA
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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