Individual provider · Type 1 NPI

Dima Shabaneh, PLPC

Mental Health Counselor · St. Peters, MO

NPI number 1891503637 Active

Practice location

111 Mexico Ct
St. Peters, MO 63376-5102

Mailing address

1800 Community
Clinton, MO 64735-8804

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X2024049084 (MO)

Mental Health Counselor: Definition to come...

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About NPI 1891503637

Dima Shabaneh, PLPC's National Provider Identifier is 1891503637, issued on Dec 26, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in St. Peters, MO. The record was last updated on Dec 26, 2024.