Roberta Kerosevic
Counselor, Mental Health in Saint Louis, MO. Individual provider (NPI-1).
NPI number1235736588
StatusActive
Last updated in NPPESOct 8, 2020
Details
- NPI
- 1235736588
- Entity type
- Individual (NPI-1)
- Name
- Roberta Kerosevic
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 8, 2020
- Certification date
- Oct 8, 2020
- Last updated
- Oct 8, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 2020033352 | MO | Yes |
Practice location
12203 Big Bend Rd Ste 101Saint Louis, MO 63122-6848
Phone 314-717-0190
Mailing address
4340 Mersey Bend CtSaint Louis, MO 63129-1943
Phone 314-835-8121
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