Individual
KRISTY B JOHNSON-HERRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
11025 SAINT RAPHAEL LN, SAINT ANN, MO 63074-1228
(314) 960-8747
Mailing address
11025 SAINT RAPHAEL LN, SAINT ANN, MO 63074-1228
(314) 960-8747
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2023028450
MO
Other
Enumeration date
07/19/2023
Last updated
07/19/2023
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