Individual
JACQUELINE NIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
760 PLANTATION BLVD, SIKESTON, MO 63801-5736
(573) 471-0800
(573) 471-0810
Mailing address
760 PLANTATION BLVD, PO BOX 1403, SIKESTON, MO 63801-5736
(573) 471-0800
(573) 471-0810
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
001652
MO
Other
Enumeration date
02/23/2009
Last updated
02/23/2009
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