Provider Demographics
NPI:1841535168
Name:WESCHE, KRIS M (MSSW)
Entity type:Individual
Prefix:MS
First Name:KRIS
Middle Name:M
Last Name:WESCHE
Suffix:
Gender:F
Credentials:MSSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3643 HEMPSTEAD ST
Mailing Address - Street 2:
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63301-8104
Mailing Address - Country:US
Mailing Address - Phone:314-853-0735
Mailing Address - Fax:
Practice Address - Street 1:1000 LAKE SAINT LOUIS BLVD STE 210
Practice Address - Street 2:
Practice Address - City:LAKE SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63367-2923
Practice Address - Country:US
Practice Address - Phone:314-853-0735
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-28
Last Update Date:2012-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO0044751041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical