Healthcare Provider Details

I. General information

NPI: 1205608437
Provider Name (Legal Business Name): KITTEN JEAN ANNE BURCH LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/23/2023
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1831 HIGHWAY Z
PEVELY MO
63070-1316
US

IV. Provider business mailing address

1831 HIGHWAY Z
PEVELY MO
63070-1316
US

V. Phone/Fax

Practice location:
  • Phone: 314-703-2681
  • Fax:
Mailing address:
  • Phone: 314-703-2681
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2026001319
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: