Individual
DANIEL JOSEPH PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PLPC
Contact information
Practice address
9355 OLIVE BLVD, SAINT LOUIS, MO 63132-3212
(314) 962-3456
Mailing address
9355 OLIVE BLVD, SAINT LOUIS, MO 63132-3212
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2016044266
MO
Other
Enumeration date
03/06/2017
Last updated
03/06/2017
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