Individual provider · Type 1 NPI

Alice Ippolito, M.A.

Mental Health Counselor · Kirkwood, MO

NPI number 1184648677 Active

Practice location

343 S Kirkwood Rd, Suite 200
Kirkwood, MO 63122-6195

Mailing address

1430 Olive St, Suite 400
St. Louis, MO 63103-2303

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X2003032240 (MO)

Mental Health Counselor: Definition to come...

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About NPI 1184648677

Alice Ippolito, M.A.'s National Provider Identifier is 1184648677, issued on Jul 27, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Kirkwood, MO. The record was last updated on Jul 8, 2007.