Individual
NICOLE PULIDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 N MILL ST, FESTUS, MO 63028-1816
(636) 931-2700
(636) 931-1961
Mailing address
227 E MAIN ST, FESTUS, MO 63028-1952
(636) 931-2700
(636) 931-5304
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
8185
MO
Other
Enumeration date
12/03/2014
Last updated
12/03/2014
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