Individual
KEELIN STAAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
200 SENN THOMAS DR, HERCULANEUM, MO 63048-1033
(636) 931-2700
(636) 931-5304
Mailing address
227 MAIN ST, FESTUS, MO 63028-1952
(636) 931-2700
(636) 931-5304
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2021014949
MO
101YP2500X
Professional Counselor
Primary
2021014949
MO
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/15/2021
Last updated
07/10/2023
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