Provider Demographics
NPI:1851632632
Name:SLIGER, DWAIN EDWIN (LPC, CRAADC)
Entity type:Individual
Prefix:MR
First Name:DWAIN
Middle Name:EDWIN
Last Name:SLIGER
Suffix:
Gender:M
Credentials:LPC, CRAADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:509 SPRINGHURST PKWY
Mailing Address - Street 2:
Mailing Address - City:O FALLON
Mailing Address - State:MO
Mailing Address - Zip Code:63368-7451
Mailing Address - Country:US
Mailing Address - Phone:636-544-7361
Mailing Address - Fax:
Practice Address - Street 1:509 SPRINGHURST PKWY
Practice Address - Street 2:
Practice Address - City:O FALLON
Practice Address - State:MO
Practice Address - Zip Code:63368-7451
Practice Address - Country:US
Practice Address - Phone:636-544-7361
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-04
Last Update Date:2013-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO6829101YA0400X
MO2010003645101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)