Kelly B Bouse
Kelly B Bouse is a Professional Counselor in Saint Louis, Missouri. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
3309 S Kingshighway BlvdSaint Louis, MO 63139-1101
Phone: (314) 206-3700
Fax: (314) 206-3708
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Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X |
|---|
Record details
| NPI number | 1184352155 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 9, 2022 |
| Last updated in NPPES | July 15, 2024 |
| Certification date | July 15, 2024 |
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