Individual provider · Type 1 NPI

Nicole Denise Siddoway, MA, LPC, CAC II

Professional Counselor · Joplin, MO

NPI number 1659403731 Active

Practice location

530 E 34th St, Suite 102
Joplin, MO 64804-3924

Call (417) 347-7500 Map

Fax (417) 347-7508

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X2007035690 (MO)

Professional Counselor: Definition to come...

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About NPI 1659403731

Nicole Denise Siddoway, MA, LPC, CAC II's National Provider Identifier is 1659403731, issued on Mar 12, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Joplin, MO. The record was last updated on Jun 26, 2009.