Individual
PETER JOSEPH NINNEMAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
21 MUNICIPAL DR, ARNOLD, MO 63010-1012
(636) 296-6206
Mailing address
21 MUNICIPAL DR, ARNOLD, MO 63010-1012
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2014009981
MO
Other
Enumeration date
09/02/2014
Last updated
09/02/2014
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