Individual
ADRIENNE NICKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
2838 S GRAND BLVD, SAINT LOUIS, MO 63118-1033
(314) 399-8842
Mailing address
2838 S GRAND BLVD, SAINT LOUIS, MO 63118-1033
(314) 399-8842
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2019019338
MO
Other
Enumeration date
07/07/2021
Last updated
07/07/2021
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