Individual provider · Type 1 NPI
Mary Melissa Fasoldt, LPC
Professional Counselor · Kirkwood, MO
NPI number
1336941863
Active
Practice location
404 S Clay Ave Ste 204
Kirkwood, MO 63122-5888
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 2025008024 (MO) |
Professional Counselor: Definition to come...
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About NPI 1336941863
Mary Melissa Fasoldt, LPC's National Provider Identifier is 1336941863, issued on Mar 25, 2025. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Kirkwood, MO. The record was last updated on Mar 25, 2025.