Individual
MISS NICOLE JECKELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC, NCC
Contact information
Practice address
7280 NW 87TH TERRACE, SUITE 210, KANSAS CITY, MO 64153-3706
(816) 841-7735
(816) 817-0712
Mailing address
7280 NW 87TH TERRACE, SUITE 210, KANSAS CITY, MO 64153-3706
(816) 841-7735
(816) 817-0712
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
496006800
—
MO
Enumeration date
07/31/2006
Last updated
04/03/2024
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