Individual
DR. PAMELA MARIE NICKELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D.
Contact information
Practice address
443 N NEW BALLAS RD, SUITE 222, SAINT LOUIS, MO 63141-6800
(314) 994-7585
(314) 726-6059
Mailing address
443 N NEW BALLAS RD, SUITE 222, SAINT LOUIS, MO 63141-6800
(314) 994-7585
(314) 726-6059
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CS000112
MO
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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