Individual provider · Type 1 NPI

Kelly B. Bouse

Professional Counselor · St. Louis, MO

NPI number 1184352155 Active

Practice location

3309 S Kingshighway Blvd
St. Louis, MO 63139-1101

Call (314) 206-3700 Map

Fax (314) 206-3708

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1184352155

Kelly B. Bouse's National Provider Identifier is 1184352155, issued on Aug 9, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in St. Louis, MO. The record was last updated on Jul 15, 2024.