Provider Demographics
NPI:1548307374
Name:ANINGO, LA SHAUNA (NCC, LPC)
Entity type:Individual
Prefix:MRS
First Name:LA SHAUNA
Middle Name:
Last Name:ANINGO
Suffix:
Gender:F
Credentials:NCC, LPC
Other - Prefix:MRS
Other - First Name:SHAUNA
Other - Middle Name:
Other - Last Name:ANINGO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:111 CHURCH ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63135-2441
Mailing Address - Country:US
Mailing Address - Phone:314-522-8884
Mailing Address - Fax:866-524-0405
Practice Address - Street 1:111 CHURCH ST
Practice Address - Street 2:SUITE 103
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63135-2441
Practice Address - Country:US
Practice Address - Phone:314-522-8884
Practice Address - Fax:866-524-0405
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2010-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2007002225101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional