Individual provider · Type 1 NPI

Kaitlyn Tebeau

Mental Health Counselor · Florissant, MO

NPI number 1083576037 Active

Practice location

3751 Pennridge Dr, Ste 119
Florissant, MO 63031-3215

Call (314) 816-7812 Map

Mailing address

660 Mark Twain Dr
Florissant, MO 63031-3215

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1083576037

Kaitlyn Tebeau's National Provider Identifier is 1083576037, issued on Nov 28, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Florissant, MO. The record was last updated on Jun 16, 2026.