Individual provider · Type 1 NPI

Kathleen A. Park, PLPC

Professional Counselor · St. Louis, MO

NPI number 1386979151 Active

Practice location

9200 Watson Rd, Ste G101
St. Louis, MO 63126-1528

Fax (314) 843-0552

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X2008035991 (MO)

Professional Counselor: Definition to come...

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About NPI 1386979151

Kathleen A. Park, PLPC's National Provider Identifier is 1386979151, issued on Oct 12, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in St. Louis, MO. The record was last updated on Oct 12, 2009.