Kimberly Lee Stuckey, LPC Valid NPI
Individual provider · Professional Counselor · O Fallon, MO
- NPI
- 1225304256
- Type
- Individual (Type 1)
- Primary specialty
- Professional Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YP2500X
- License number
- 2000146835 (MO)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2012-03-23
- Last updated
- 2012-03-23
Practice location
103 Lincoln St
O Fallon, MO 63366-1603
(636) 978-6901