Individual
NICOLE REGINE NEACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3460 HAMPTON AVE STE 204, SAINT LOUIS, MO 63139-1938
(314) 669-6242
(866) 596-5017
Mailing address
5859 S KINGSHIGHWAY BLVD, SAINT LOUIS, MO 63109-3571
(314) 669-6242
(866) 596-5017
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/12/2020
Last updated
12/12/2020
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