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Individual

DAWANNA DANIELS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1430 OLIVE ST STE 400, SAINT LOUIS, MO 63103-2303
(314) 206-3700
Mailing address
1430 OLIVE ST STE 400, SAINT LOUIS, MO 63103-2303
(314) 206-3700

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
17800222
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
178.008222
LICENSED PROFESSIONAL COUNSELOR
IL
01
2014007753
LICENSED PROFESSIONAL COUNSELOR
MO
Enumeration date
02/19/2013
Last updated
11/20/2018
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