DAETON DEGRANT LPC
NPI 1093357873
Counselor - Professional in Potosi, MO
Active since October 12, 2019
About Daeton Degrant Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAETON DEGRANT LPC (NPI 1093357873) is an individual professional provider in Potosi, Missouri, licensed in Missouri (2014013834) and active in the NPI registry since October 2019.
NPPES Registry Identity
NPI1093357873
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameDAETON DEGRANTCredential: LPC
Location Address11569 LICK SKILLET RDPotosi, MO 63664-8225
Mailing Address11569 Lick Skillet RdPotosi, MO 63664-8225 · (573) 705-6670
Phone(573) 705-6670
Sole ProprietorNo
Enumeration DateOctober 12, 2019
Last NPPES UpdateFebruary 1, 2024
NPPES CertifiedFebruary 1, 2024
✔ NPI 1093357873 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MO · 2014013834
11569 LICK SKILLET RD, Potosi, MO 63664
Accepted Insurance
The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica, UnitedHealthcare.Insurance ›
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1093357873, enumerated as an "individual" on October 12, 2019.
The provider is located at 11569 LICK SKILLET RD POTOSI, MO 63664 and the phone number is (573) 705-6670.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Medica and. Please consult your insurance carrier or call the provider to verify.
