Individual provider · Type 1 NPI

Jordan Nichole Cantrell, LPC

Professional Counselor · Clayton, MO

NPI number 1255150769 Active

Practice location

230 S Bemiston Ave Ste 1006
Clayton, MO 63105-1907

Fax (314) 582-5614

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X2022009284 (MO)
Professional Counselor Primary 101YP2500X2022009284 (MO)

Professional Counselor: Definition to come...

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About NPI 1255150769

Jordan Nichole Cantrell, LPC's National Provider Identifier is 1255150769, issued on Oct 10, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Clayton, MO. The record was last updated on Oct 10, 2024.