| Nicole L Jackson, LPC | |
|
3394 Mckelvey Rd Ste 116, Bridgeton, MO 63044-2531 | |
| (314) 656-6153 | |
| Not Available |
| Full Name | Nicole L Jackson |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 3394 Mckelvey Rd Ste 116, Bridgeton, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053745521 | NPI | - | NPPES |
| 490048738 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 2013023409 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole L Jackson, LPC 501 Lynn Haven Ln, Hazelwood, MO 63042-1809 Ph: (314) 607-8653 | Nicole L Jackson, LPC 3394 Mckelvey Rd Ste 116, Bridgeton, MO 63044-2531 Ph: (314) 656-6153 |
Ericka Renee Cables, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11520 Saint Charles Rock Rd Ste 101, Bridgeton, MO 63044 Phone: 314-312-2551 Fax: 314-227-9331 | |
Mr. George Joeseph Knoechel, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3165 Mckelvey Rd, Suite 200, Bridgeton, MO 63044 Phone: 314-206-3956 Fax: 314-206-3992 | |
Stacy V Brown, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 12377 De Paul Dr, Bridgeton, MO 63044 Phone: 314-344-7183 | |
Ms. Sarah Nicole Bauer, MA Counselor Medicare: Medicare Enrolled Practice Location: 3165 Mckelvey Rd, Suite 200, Bridgeton, MO 63044 Phone: 314-206-3929 Fax: 314-206-3992 | |
Mrs. Valerie J Bowman, M.ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 3165 Mckelvey Rd, Suite 200, Bridgeton, MO 63044 Phone: 314-206-3900 | |
Azra Tiedt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3165 Mckelvey Rd, Suite 200, Bridgeton, MO 63044 Phone: 314-206-3900 Fax: 314-206-3992 |