Kersting, Kristina Renee

Kersting, Kristina Renee is an sole proprietor health care provider with primary practice located at 12818 Tesson Ferry Rd Ste 103 , Saint Louis MO 63128-2945. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Kersting, Kristina Renee can be contacted via phone (314) 923-4655.

Contact Information

Primary practice address
12818 Tesson Ferry Rd Ste 103 Saint Louis MO 63128-2945
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LCPC03135 Kansas
Behavioral Health & Social Service Providers / Professional 101YP2500X 2004036418 Missouri

Profile Details

NPI number 1457324485
LBN Legal business name Kersting, Kristina Renee
Credentials PHD, LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 9th, 2006
Last updated Dec 26th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457324485 NPPES
Missouri MEDICAID 499019503

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