Individual
NICOLE LAKEBRINK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, PLPC
Contact information
Practice address
60 HILL POINTE CT, SUITE 102, SAINT CHARLES, MO 63303-4099
(636) 947-2325
Mailing address
60 HILL POINTE CT, SUITE 102, SAINT CHARLES, MO 63303-4099
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2012037745
MO
Other
Enumeration date
11/17/2012
Last updated
11/17/2012
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