Individual
CHARISSA MARIE BICKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, PMHNP
Contact information
Practice address
1585 WOODLAKE DR STE 111, TOWN AND COUNTRY, MO 63017-5740
(314) 221-8177
(314) 628-1046
Mailing address
1430 OLIVE ST, SAINT LOUIS, MO 63103-2360
(314) 645-6840
(314) 628-1046
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2012035357
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2024039909
MO
Other
Enumeration date
07/31/2017
Last updated
03/12/2025
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