Individual
JILLIAN ALICIA NICKELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5000 CEDAR PLAZA PKWY STE 180, SAINT LOUIS, MO 63128-3854
(314) 548-9105
Mailing address
5000 CEDAR PLAZA PKWY STE 180, SAINT LOUIS, MO 63128-3854
(314) 548-9105
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/03/2023
Last updated
01/15/2026
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