Provider Demographics
NPI:1760528996
Name:ESTES, LAURA DANIELLE (MSW)
Entity Type:Individual
Prefix:MS
First Name:LAURA
Middle Name:DANIELLE
Last Name:ESTES
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MS
Other - First Name:LAURA
Other - Middle Name:DANIELLE
Other - Last Name:GUIGNON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10 S EUCLID AVE STE C
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63108-3809
Mailing Address - Country:US
Mailing Address - Phone:552-847-4838
Mailing Address - Fax:
Practice Address - Street 1:7204 SKYWAY
Practice Address - Street 2:
Practice Address - City:PARADISE
Practice Address - State:CA
Practice Address - Zip Code:95969
Practice Address - Country:US
Practice Address - Phone:530-872-2103
Practice Address - Fax:530-872-7784
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2020-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOLCSW2004005801101Y00000X, 101YS0200X
MO200400580131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool