Individual
ARTHUR H NISSENBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
4106 OLIVE ST, SAINT LOUIS, MO 63108-3126
(314) 580-0454
(314) 333-4153
Mailing address
4106 OLIVE ST, SAINT LOUIS, MO 63108-3126
(314) 580-0454
(314) 333-4153
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2017034832
MO
Other
Enumeration date
09/27/2018
Last updated
09/27/2018
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