Organization
DUCK FALLS COUNSELING AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE FRANCES VINCIGUERRA LCSW (CEO, THERAPIST)
(314) 471-4445
Entity
Organization
Contact information
Practice address
1018 COUNTRY CLUB RD, SAINT CHARLES, MO 63303-3364
(314) 471-4445
Mailing address
1018 COUNTRY CLUB RD, SAINT CHARLES, MO 63303-3364
(314) 471-4445
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
12/06/2021
Last updated
12/06/2021
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