Individual provider · Type 1 NPI

Nicole Regine Neace

Mental Health Counselor · St. Louis, MO

NPI number 1780270983 Active

Practice location

3460 Hampton Ave Ste 204
St. Louis, MO 63139-1938

Fax (866) 596-5017

Mailing address

5859 S Kingshighway Blvd
St. Louis, MO 63109-3571

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1780270983

Nicole Regine Neace's National Provider Identifier is 1780270983, issued on Dec 12, 2020. 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 Dec 12, 2020.