MICHAEL A. NINNESS

WASHINGTON, MO
NPI1356577183
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MO  3788)
Enumeration Date2009-06-08
Last Update Date2009-06-08
Business Address
Mr. MICHAEL A. NINNESS
854 LOST CREEK LN
WASHINGTON, MO 63090-5492
Phone number: 636-390-3261
Mailing Address
Mr. MICHAEL A. NINNESS
854 LOST CREEK LN
WASHINGTON, MO 63090-5492
Phone number: 636-390-3261