Individual
MR. DANIEL STEPHEN TEATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, M.DIV, MAC
Contact information
Practice address
11780 BORMAN DR, SAINT LOUIS, MO 63146-4135
(314) 479-9028
(866) 387-2869
Mailing address
5947 WATERMAN BLVD, SAINT LOUIS, MO 63112-1517
(314) 518-1616
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2012029760
MO
Other
Enumeration date
03/06/2019
Last updated
03/06/2019
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