IndividualActive
Alice Ippolito, M.A.
NPI 1184648677 · Mental Health Counselor · Kirkwood, MO
Provider details
- NPI number
- 1184648677
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- M.A.
- Sex
- Female
- Sole proprietor
- No
- License
- 2003032240 (MO)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
343 S Kirkwood Rd
Suite 200
Kirkwood, MO 63122-6195
Phone: (314) 206-3400
Approximate (ZIP-level) locationGet directions
Mailing address
1430 Olive St
Saint Louis, MO 63103-2303
Registry dates
- Enumerated
- 2006-07-27
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.