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Organization
CUSTOM NUTRITION COACHING CO
Active
Organization
CUSTOM NUTRITION COACHING CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA NICOLE HUMPHRIES MS, RDN, LDN, CDCES (OWNER, RDN)
(618) 541-1981
Entity
Organization
Contact information
Practice address
56 E REDFORD CT, SAINT CHARLES, MO 63304-5048
(618) 541-1981
Mailing address
56 E REDFORD CT, SAINT CHARLES, MO 63304-5048
(618) 541-1981
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
04/10/2026
Last updated
04/10/2026
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