Jacqueline Nicole Newkirk Mattingly, LPC
NPI #1124661962 in Wentzville, Missouri
Provider Information
- NPI Number
- 1124661962
- Entity Type
- Individual
- Name
- Jacqueline Nicole Newkirk Mattingly, LPC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Credential
- LPC
- Enumeration Date
- Oct 24, 2019
- Last Updated
- Oct 24, 2019
Practice Location
- Address
- 1032 CROSSWINDS CT
- City
- Wentzville
- State
- Missouri
- ZIP Code
- 63385-4836
- Phone
- (888) 403-1071
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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