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
Phone: (314) 923-4655
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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 2 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457324485 | NPPES |
| Missouri | MEDICAID | 499019503 |
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