Individual provider · Type 1 NPI

Amanda Brown Kidwell, M.A.

Mental Health Counselor · St. Louis, MO

NPI number 1336676006 Active

Practice location

12647 Olive Blvd, Ste 200
St. Louis, MO 63141-6393

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1336676006

Amanda Brown Kidwell, M.A.'s National Provider Identifier is 1336676006, issued on May 12, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in St. Louis, MO. The record was last updated on May 12, 2017.