Individual
NICOLE MARIE TWENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1195 N OAKLAND AVE, BOLIVAR, MO 65613-8095
(660) 621-4451
Mailing address
11295 N HWY, PILOT GROVE, MO 65276-2310
(660) 621-4451
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2019035900
MO
Other
Enumeration date
07/30/2021
Last updated
07/30/2021
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