Nicole Theiss, MA
NPI #1144766908 in Edwardsville, Illinois
Provider Information
- NPI Number
- 1144766908
- Entity Type
- Individual
- Name
- Nicole Theiss, MA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- MA
- Enumeration Date
- Jan 17, 2017
- Last Updated
- Jan 17, 2017
Practice Location
- Address
- 40B EDWARDSVILLE PROF PARK
- City
- Edwardsville
- State
- Illinois
- ZIP Code
- 62025-3602
- Phone
- (618) 248-2040
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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