Individual provider · Type 1 NPI

Pamela Marie Nickels, ED.D.

Mental Health Counselor · St. Louis, MO

NPI number 1770792202 Active

Practice location

443 N New Ballas Rd, Suite 222
St. Louis, MO 63141-6800

Fax (314) 726-6059

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XCS000112 (MO)

Mental Health Counselor: Definition to come...

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About NPI 1770792202

Pamela Marie Nickels, ED.D.'s National Provider Identifier is 1770792202, issued on May 22, 2007. 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 Jul 8, 2007.