Individual provider · Type 1 NPI

Jackie Dewald

Professional Counselor · Clayton, MO

NPI number 1437563160 Active

Practice location

8000 Bonhomme Ave Ste 210
Clayton, MO 63105-3515

Call (314) 269-0004 Map

Fax (314) 269-0004

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X2014034446 (MO)

Professional Counselor: Definition to come...

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About NPI 1437563160

Jackie Dewald's National Provider Identifier is 1437563160, issued on Jun 20, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Clayton, MO. The record was last updated on Oct 7, 2025.