Provider Demographics
NPI:1598250045
Name:ANGIERI, NICHOLE (SCHOOL COUNSELING)
Entity Type:Individual
Prefix:MRS
First Name:NICHOLE
Middle Name:
Last Name:ANGIERI
Suffix:
Gender:F
Credentials:SCHOOL COUNSELING
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8633 MAYFLOWER CT
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63132-3802
Mailing Address - Country:US
Mailing Address - Phone:314-397-4821
Mailing Address - Fax:
Practice Address - Street 1:3250 HAMPTON AVE
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63139-2379
Practice Address - Country:US
Practice Address - Phone:131-453-1115
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-27
Last Update Date:2018-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO101YS0200X
MNO0917867-0225101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool