Individual
NICKETA COOMBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3501 BERRYWOOD DR, COLUMBIA, MO 65201-6584
(844) 853-8937
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PENDING
MO
Other
Enumeration date
11/24/2021
Last updated
11/24/2021
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