Individual
CYNTHIA ANN KIESLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, CRADC
Contact information
Practice address
1109 JONES ST BLDG C, KENNETT, MO 63857-3824
(573) 888-5925
Mailing address
1109 JONES ST BLDG C, KENNETT, MO 63857-3824
(573) 888-5925
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
11973
MO
101YM0800X
Mental Health Counselor
2021023584
MO
101YP2500X
Professional Counselor
Primary
2021023584
MO
Other
Enumeration date
07/26/2019
Last updated
06/01/2023
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