Individual provider · Type 1 NPI

Amanda Fondow, LPC, M-DT

Mental Health Counselor · Kirkwood, MO

NPI number 1265934244 Active

Practice location

12166 Old Big Bend Rd Ste 102
Kirkwood, MO 63122-6836

Call (314) 717-0190 Map

Fax (314) 754-7275

Mailing address

6915 Hillsland Ave
St. Louis, MO 63109-1947

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

4 other providers at this address

Other mental health counselor providers in Kirkwood

See all in Kirkwood →

About NPI 1265934244

Amanda Fondow, LPC, M-DT's National Provider Identifier is 1265934244, issued on Mar 6, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Kirkwood, MO. The record was last updated on Mar 6, 2018.