Individual
MR. NICHOLAS ANTON WREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
9137 OLD BONHOMME RD, SAINT LOUIS, MO 63132-4417
(314) 489-9517
(314) 584-2079
Mailing address
9137 OLD BONHOMME RD, SAINT LOUIS, MO 63132-4417
(314) 489-9517
(314) 584-2079
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2001033822
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
490814605
—
MO
Enumeration date
12/15/2006
Last updated
08/25/2020
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