Individual
NISHELLE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1360 S 5TH ST STE 306, SAINT CHARLES, MO 63301-2447
(314) 422-8716
(636) 493-1884
Mailing address
10417 WILLOWDALE DR, SAINT LOUIS, MO 63146-5619
(314) 422-8716
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2018043841
MO
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/07/2019
Last updated
03/23/2022
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