Individual
ELLEN M NICKRENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
11042 MANCHESTER RD, KIRKWOOD, MO 63122-1244
(844) 462-3492
Mailing address
11042 MANCHESTER RD, KIRKWOOD, MO 63122-1244
(844) 462-3492
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2011005978
MO
Other
Enumeration date
01/11/2019
Last updated
01/11/2019
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