Individual
NICOLE ELIZABETH MORGAN ELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
11222 TESSON FERRY RD STE 200, SAINT LOUIS, MO 63123-6963
(314) 312-2349
Mailing address
805 BLUFF RIDGE LN, SHILOH, IL 62221-3562
(314) 757-0281
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2007008257
MO
Other
Enumeration date
02/13/2007
Last updated
12/29/2021
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