Daniel Kickham, LPC
NPI #1174315022 in Manchester, Missouri
Provider Information
- NPI Number
- 1174315022
- Entity Type
- Individual
- Name
- Daniel Kickham, LPC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- LPC
- Enumeration Date
- May 19, 2025
- Last Updated
- May 19, 2025
Practice Location
- Address
- 625 MERAMEC STATION RD
- City
- Manchester
- State
- Missouri
- ZIP Code
- 63021-5550
- Phone
- (314) 266-6159
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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