NICOLE THEISS

EDWARDSVILLE, IL
NPI1144766908
Former NameNICOLE HOULTZHOUSER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: IL  178.010261)
Enumeration Date2017-01-17
Last Update Date2017-01-17
Business Address
-- NICOLE THEISS MA
40B EDWARDSVILLE PROF PARK
EDWARDSVILLE, IL 62025-3602
Phone number: 618-248-2040
Mailing Address
-- NICOLE THEISS MA
PO BOX 101
EDWARDSVILLE, IL 62025-0101
Phone number: 618-248-2040
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