Individual provider · Type 1 NPI

Pagena M. Nichols, LPC

Professional Counselor · Jefferson City, MO

NPI number 1417591900 Active

Practice location

1125 Madison St
Jefferson City, MO 65101-5227

Call (573) 632-5510 Map

Fax (573) 632-5810

Mailing address

PO Box 843966
Kansas City, MO 64184-3966

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X2004020342 (MO)

Professional Counselor: Definition to come...

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About NPI 1417591900

Pagena M. Nichols, LPC's National Provider Identifier is 1417591900, issued on Oct 29, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Jefferson City, MO. The record was last updated on May 19, 2025.