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Marissa Ann Kistner, MED,PLPC
Counselor in Lake St Louis, Missouri
NPI 1750007399

Marissa Ann Kistner is a Counselor based in Warrenton, MO. Marissa Ann Kistner practices in Lake St Louis, MO and has the professional credentials of MED,PLPC. The NPI Number for Marissa Ann Kistner is 1750007399 and holds a License No. 2022040479 (Missouri).

The current practice location address for Marissa Ann Kistner is 1000 Edgewater Pt Ste 401-405, Lake St Louis, MO and can be reached out via phone at 636-442-2612.

Location: 1000 Edgewater Pt Ste 401-405, Lake St Louis, MO, 63383-7371
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750007399
Provider Name
Marissa Ann Kistner
Credential
MED,PLPC
Provider Entity Type
Individual
Gender
Female
Address
1000 Edgewater Pt Ste 401-405, Lake St Louis, MO, 63383-7371
Phone Number
636-442-2612
Fax Number
Provider Enumeration Date
10/17/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1000 Edgewater Pt Ste 401-405
City
Lake St Louis
State
Missouri
Zip
63367-2954
Phone Number
636-442-2612
Fax Number
person
Provider Business Mailing Address Details
Address
1000 Edgewater Pt Ste 401-405
City
Lake St Louis
State
Missouri
Zip
63367-2954
Phone Number
636-442-2612
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
2022040479 (Missouri)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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