Cynthia Ann Kiesling, LPC, CRADC
Counselor, Professional in Kennett, MO. Individual provider (NPI-1).
NPI number1982258182
StatusActive
Last updated in NPPESJun 1, 2023
Details
- NPI
- 1982258182
- Entity type
- Individual (NPI-1)
- Name
- Cynthia Ann Kiesling
- Credential
- LPC, CRADC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 26, 2019
- Certification date
- Jun 1, 2023
- Last updated
- Jun 1, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 2021023584 | MO | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 11973 | MO | |
| 101YM0800X | Counselor, Mental Health | 2021023584 | MO |
Practice location
1109 Jones St Bldg CKennett, MO 63857-3824
Phone 573-888-5925
Mailing address
1109 Jones St Bldg CKennett, MO 63857-3824
Phone 573-888-5925
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