Kristi Lynn Theriot, LPC Valid NPI
Individual provider · Professional Counselor · Bridgeton, MO
- NPI
- 1295279487
- Type
- Individual (Type 1)
- Primary specialty
- Professional Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YP2500X
- License number
- 2010008295 (MO)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2016-12-07
- Last updated
- 2016-12-07
Practice location
11300 Saint Charles Rock Rd
Bridgeton, MO 63044-2721
(314) 739-6811