MEDICARE: MATT KESSLER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	2021011822	MO

General Provider Information

NPI Number	:	1942889316
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATT KESSLER

Provider Business Mailing Address
First Line	:	14 JAMESTOWN DR
Second Line	:
City	:	SAINT PETERS
State	:	MO
Zip	:	63376-1309
Country	:	US
Telephone Number	:	314-640-5226
Fax Number	:

Provider Business Practice Location Address
First Line	:	14 JAMESTOWN DR
Second Line	:
City	:	SAINT PETERS
State	:	MO
Zip	:	63376-1309
Country	:	US
Telephone Number	:	314-640-5226
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/05/2021
Last Update Date	:	12/02/2025

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Directions to “ MATT KESSLER ” Practice Location

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