Individual
MRS. NICOLE L REDECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1297 BRYAN RD, O FALLON, MO 63366-3729
(636) 299-0091
Mailing address
1297 BRYAN RD, O FALLON, MO 63366-3729
(314) 619-2401
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2023032842
MO
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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