Individual
MS. NIKKI D. CHAMBLESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LPC
Contact information
Practice address
801 S WOODLAWN AVE STE 15, O FALLON, MO 63366-7647
(636) 379-1779
Mailing address
801 S WOODLAWN AVE STE 15, O FALLON, MO 63366-7647
(636) 370-1779
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2017009200
MO
Other
Enumeration date
09/04/2013
Last updated
10/12/2023
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