Individual
DANIELLE THELEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
816 LAFAYETTE AVE OFC E104, SAINT LOUIS, MO 63104-3820
(314) 246-0831
Mailing address
818 LAFAYETTE AVE OFC E104, SAINT LOUIS, MO 63104-3820
(314) 246-0831
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2024041791
MO
Other
Enumeration date
06/09/2026
Last updated
06/09/2026
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