Individual
JESSICA NICKELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
8340 MISSION RD STE 230, PRAIRIE VILLAGE, KS 66206-1319
(913) 356-9592
Mailing address
8340 MISSION RD STE 230, PRAIRIE VILLAGE, KS 66206-1319
(913) 356-9592
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3383
KS
Other
Enumeration date
06/18/2019
Last updated
06/18/2019
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