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12813 Flushing Meadows Dr Suite 140 Des Peres MO 63131-1835 | |
| (314) 504-5515 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor - Professional |
| Location | 12813 Flushing Meadows Dr, Des Peres, Missouri |
| Authorized Official Name and Position | Kimberly Elaine Keegan (PRESIDENT) |
| Authorized Official Contact | 3145045515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
12813 Flushing Meadows Dr Suite 140 Des Peres MO 63131-1835 Ph: (314) 504-5515 | 12813 Flushing Meadows Dr Suite 140 Des Peres MO 63131-1835 Ph: (314) 504-5515 |
| NPI Number | 1871718411 |
|---|---|
| Provider Enumeration Date | 04/17/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871718411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 000219 (Missouri) | Primary |
Knubley Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12813 Flushing Meadows Dr, Suite 140, Des Peres, MO 63131 Phone: 314-630-2642 Fax: 314-909-7073 | |