MISS Kristen Elizabeth Bouse, LPC

NPI #1174715494 in Bridgeton, Missouri

Provider Information

NPI Number: 1174715494
Entity Type: Individual
Name: MISS Kristen Elizabeth Bouse, LPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Credential: LPC
Enumeration Date: Aug 10, 2007
Last Updated: Aug 10, 2007

Practice Location

Address: 11300 SAINT CHARLES ROCK RD
City: Bridgeton
State: Missouri
ZIP Code: 63044-2721
Phone: (314) 739-6811

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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