Individual provider · Type 1 NPI

Kelly Diller, LPC, MAC

Mental Health Counselor · St. Louis, MO

NPI number 1366707226 Active

Practice location

13354 Manchester Rd Ste 210
St. Louis, MO 63131-1737

Call (314) 374-5000 Map

Mailing address

1304 Bansbach Rd
St. Louis, MO 63131-4002

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X2011030041 (MO)

Mental Health Counselor: Definition to come...

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About NPI 1366707226

Kelly Diller, LPC, MAC's National Provider Identifier is 1366707226, issued on Jul 6, 2012. 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 Aug 27, 2015.