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Nicole L Jackson, LPC
Professional Counselor in Saint Louis, Missouri
NPI 1053745521

Nicole L Jackson is a Professional Counselor based in Saint Louis, MO and is specialized in Professional. Nicole L Jackson practices in Saint Louis, MO and has the professional credentials of LPC. The NPI Number for Nicole L Jackson is 1053745521 and holds a License No. 2013023409 (Missouri).

The current practice location address for Nicole L Jackson is 10922 Schuetz Rd, Saint Louis, MO and can be reached out via phone at 314-441-2737.

Location: 10922 Schuetz Rd, Saint Louis, MO, 63146-5704
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053745521
Provider Name
Nicole L Jackson
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
10922 Schuetz Rd, Saint Louis, MO, 63146-5704
Phone Number
314-441-2737
Fax Number
Provider Enumeration Date
09/02/2013
Last Update Date
12/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
490048738 05 MO
institution
Provider Business Practice Location Address Details
Address
10922 Schuetz Rd
City
Saint Louis
State
Missouri
Zip
63146-5704
Phone Number
314-441-2737
Fax Number
person
Provider Business Mailing Address Details
Address
10922 Schuetz Rd
City
Saint Louis
State
Missouri
Zip
63146-5704
Phone Number
314-441-2737
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
2013023409 (Missouri)
Definition
Definition to come...
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