Individual provider · Type 1 NPI

Jacqueline Nicole Newkirk Mattingly, LPC

Mental Health Counselor · Wentzville, MO

NPI number 1124661962 Active

Practice location

1032 Crosswinds Ct
Wentzville, MO 63385-4836

Call (888) 403-1071 Map

Mailing address

1800 Community
Clinton, MO 64735-8804

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X2014007644 (MO)

Mental Health Counselor: Definition to come...

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About NPI 1124661962

Jacqueline Nicole Newkirk Mattingly, LPC's National Provider Identifier is 1124661962, issued on Oct 24, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Wentzville, MO. The record was last updated on Oct 24, 2019.