Individual
KRISTI LYNN THERIOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
11300 SAINT CHARLES ROCK RD, BRIDGETON, MO 63044-2721
(314) 739-6811
(314) 739-6825
Mailing address
752 ESTES PARK DR, SAINT PETERS, MO 63376-2089
(636) 734-4063
(314) 739-6325
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2010008295
MO
Other
Enumeration date
12/07/2016
Last updated
12/07/2016
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