JACKIE DEWALD
Counselor - Professional
Active
Individual
NPI: 1437563160
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Professional | 101YP2500X | Yes | 2014034446 (MO) |
Frequently Asked Questions
NPI 1437563160 is the National Provider Identifier for JACKIE DEWALD, a Counselor - Professional provider located in Clayton, MO. This NPI was enumerated on June 20, 2014.
JACKIE DEWALD practices at 8000 BONHOMME AVE STE 210, Clayton, MO 63105.
Quick Facts
- NPI
- 1437563160
- Type
- Individual
- Enumerated
- Jun 20, 2014
- Last Updated
- Oct 7, 2025
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