Individual
PEG ELIZABETH NIEMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., L.P.C., N.C.C.
Contact information
Practice address
14377 WOODLAKE DR, SUITE 118, CHESTERFIELD, MO 63017-5735
(314) 205-1022
Mailing address
14377 WOODLAKE DR, SUITE 118, CHESTERFIELD, MO 63017-5735
(314) 205-1022
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2000167855
MO
Other
Enumeration date
04/15/2010
Last updated
04/15/2010
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