Individual
NICOLE A MOLDENHAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
1423 N JEFFERSON AVE FL 3, SPRINGFIELD, MO 65802-1917
(417) 761-5000
(414) 761-5011
Mailing address
2885 W BATTLEFIELD ST, SPRINGFIELD, MO 65807-3952
(417) 761-5214
(417) 761-5065
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2023025627
MO
101YP2500X
Professional Counselor
Primary
2026013799
MO
Other
Enumeration date
05/04/2023
Last updated
04/07/2026
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