Individual provider · Type 1 NPI

Jillian Alicia Nickelson

Mental Health Counselor · St. Louis, MO

NPI number 1700599958 Active

About NPI 1700599958

Jillian Alicia Nickelson's National Provider Identifier is 1700599958, issued on Jan 3, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in St. Louis, MO. The record was last updated on Sep 29, 2026.