Individual
MRS. MELYNDA HEIENICKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSED, MC, CSC, PLPC
Contact information
Practice address
1480 WOODSTONE DR STE 112, SAINT CHARLES, MO 63304-6872
(636) 362-4551
Mailing address
3150 LA BARON LN, SAINT CHARLES, MO 63303-6359
(314) 458-5233
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2018036494
MO
101YS0200X
School Counselor
—
MO
Other
Enumeration date
11/03/2018
Last updated
11/03/2018
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