Individual provider · Type 1 NPI

Kyle Jung

Mental Health Counselor · Wentzville, MO

NPI number 1487154100 Active

Practice location

1032 Crosswinds Ct
Wentzville, MO 63385-4836

Mailing address

1800 Community
Clinton, MO 64735-8804

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Mental Health Counselor Primary 101YM0800X2021047112 (MO)

Mental Health Counselor: Definition to come...

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About NPI 1487154100

Kyle Jung's National Provider Identifier is 1487154100, issued on Feb 19, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Wentzville, MO. The record was last updated on Jan 14, 2022.