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Individual

HALEY T STAATS

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
101Y00000X
Counselor
101YP2500X
Professional Counselor
Primary
2020032659
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
178015438
LPC
IL
01
2020032659
LPC
MO
Enumeration date
03/19/2020
Last updated
11/10/2020
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