Individual
NICOLE GRASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
222 S MERAMEC AVE STE 303, CLAYTON, MO 63105-3514
(314) 690-3118
Mailing address
7303 SUMMERTIME DR, SAINT LOUIS, MO 63129-5740
(314) 690-3118
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2019037907
MO
Other
Enumeration date
07/14/2020
Last updated
07/14/2020
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