Provider Demographics
NPI:1508371485
Name:RESSEL, KARA LYNNE (LPC)
Entity Type:Individual
Prefix:MRS
First Name:KARA
Middle Name:LYNNE
Last Name:RESSEL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:KARA
Other - Middle Name:LYNNE
Other - Last Name:ROEHRIG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:573 CRESTFALL DR
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:MO
Mailing Address - Zip Code:63090-7106
Mailing Address - Country:US
Mailing Address - Phone:636-667-3312
Mailing Address - Fax:
Practice Address - Street 1:102 E SPRINGFIELD AVE STE 202
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:MO
Practice Address - Zip Code:63084-1818
Practice Address - Country:US
Practice Address - Phone:636-583-1800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-13
Last Update Date:2017-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2017041224101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health