Individual
MRS. NICOLETTE R FABICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
50 CRESTWOOD EXECUTIVE CTR STE 500, SAINT LOUIS, MO 63126-1948
(314) 329-5374
Mailing address
108 PARK AVE, KIRKWOOD, MO 63122-4514
(314) 578-3817
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2025013018
MO
Other
Enumeration date
06/06/2025
Last updated
06/06/2025
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