IndividualActive
Amanda Fondow, LPC, M-DT
NPI 1265934244 · Mental Health Counselor · Kirkwood, MO
Provider details
- NPI number
- 1265934244
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LPC, M-DT
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
12166 Old Big Bend Rd Ste 102
Kirkwood, MO 63122-6836
Phone: (314) 717-0190
Fax: (314) 754-7275
Approximate (ZIP-level) locationGet directions
Mailing address
6915 Hillsland Ave
Saint Louis, MO 63109-1947
Registry dates
- Enumerated
- 2018-03-06
- Last updated
- 2018-03-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.