Individual
MIKEYA NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
1129 MACKLIND AVE, SAINT LOUIS, MO 63110-1440
(314) 534-7996
(314) 534-7996
Mailing address
1129 MACKLIND AVE, SAINT LOUIS, MO 63110-1440
(314) 534-7996
(314) 534-7996
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2024012814
MO
Other
Enumeration date
09/12/2025
Last updated
09/12/2025
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