Individual
NICOLETTE KATHRYN LONJERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
724 N 22ND ST, SAINT JOSEPH, MO 64506-2604
(816) 364-1501
(816) 364-4211
Mailing address
724 N 22ND ST, SAINT JOSEPH, MO 64506-2604
(816) 364-1501
(816) 364-4211
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2011014527
MO
Other
Enumeration date
07/13/2011
Last updated
07/13/2011
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