Individual provider · Type 1 NPI

Roxann Nicole Wombacher

Professional Counselor · Clayton, MO

NPI number 1104542620 Active

Practice location

8000 Bonhomme Ave Ste 406
Clayton, MO 63105-3515

Call (314) 451-1273 Map

Mailing address

3073 Donnycave Ln
Maryland Heights, MO 63043-1369

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X2022040512 (MO)

Professional Counselor: Definition to come...

4 other providers at this address

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About NPI 1104542620

Roxann Nicole Wombacher's National Provider Identifier is 1104542620, issued on Oct 17, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Clayton, MO. The record was last updated on Oct 17, 2022.