person
Nicole Theiss, MA
Professional Counselor in Edwardsville, Illinois
NPI 1144766908

Nicole Theiss is a Professional Counselor based in Edwardsville, IL and is specialized in Professional. Nicole Theiss practices in Edwardsville, IL and has the professional credentials of MA. The NPI Number for Nicole Theiss is 1144766908 and holds a License No. 178.010261 (Illinois).

The current practice location address for Nicole Theiss is 40B Edwardsville Prof Park, Edwardsville, IL and can be reached out via phone at 618-248-2040 and via fax at 618-248-2040.

Location: 40B Edwardsville Prof Park, Edwardsville, IL, 62025-0101
person
Provider Profile Details
NPI Number
1144766908
Provider Name
Nicole Theiss
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
40B Edwardsville Prof Park, Edwardsville, IL, 62025-0101
Phone Number
618-248-2040
Fax Number
618-248-2040
Provider Enumeration Date
01/17/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
40B Edwardsville Prof Park
City
State
Zip
62025-3602
Phone Number
618-248-2040
Fax Number
618-248-2040
person
Provider Business Mailing Address Details
Address
40B Edwardsville Prof Park
City
State
Zip
62025-3602
Phone Number
618-248-2040
Fax Number
618-248-2040
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
178.010261 (Illinois)
Definition
Definition to come...
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