Doctor Name: | MRS. KATHIA DENISE BETTS |
NPI Number: | 1831250125 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS,LPC |
License Number: | CS001525 |
Business Practice Address: | 3309 S. Kingshighway Blvd. St.louis, MO - 63139 |
Business Phone Number: | 3145349350 |
Business Fax Number: | 3145336047 |
Mailing Address: | 3309 S. Kingshighway Blvd., ST.LOUIS |
State: | MO |
Postal Code: | 63139 |
Phone Number: | 3145349350 |
Fax Number: | 3145336047 |
NPI Enumeration Date: | 12/12/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | CS001525 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |