Individual
DARREL LEE STAUBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
330 N GORE AVE, SAINT LOUIS, MO 63119-1600
(314) 919-4700
Mailing address
13 SAINT VALERY CT, LAKE ST LOUIS, MO 63367-1723
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2001004046
MO
Other
Enumeration date
05/31/2007
Last updated
07/08/2007
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