Individual provider · Type 1 NPI

Daniel Kickham, LPC

Professional Counselor · Manchester, MO

NPI number 1174315022 Active

Practice location

625 Meramec Station Rd
Manchester, MO 63021-5550

Call (314) 266-6159 Map

Mailing address

914 Kent Ct
Ballwin, MO 63011-3013

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X2025009355 (MO)

Professional Counselor: Definition to come...

3 other providers at this address

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About NPI 1174315022

Daniel Kickham, LPC's National Provider Identifier is 1174315022, issued on May 19, 2025. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Manchester, MO. The record was last updated on May 19, 2025.