Tailored Counseling

NPI 1235546052 - Counselor - 101YP2500X

NPI Details
NPI 1235546052
Enumeration Date 07/14/2014
Last Updated 07/14/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name JACKIE D JACKIE
Position THERAPIST
Phone (816) 617-6259
Fax
Practice Location
2915 JENNIFER LN
COUNTRY CLUB MO, 64506-1016, US
Phone (816) 617-6259
Fax
Business Location
2915 JENNIFER LN
COUNTRY CLUB MO, 64506-1016, US
Phone (816) 617-6259
Fax
Toxanomy
Taxonomy Code 101YP2500X
License State Missouri
License Number 2010041726
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According to our database, Tailored Counseling NPI is 1235546052, taxonomy code is 101YP2500X and license number is 2010041726, license state is located at Missouri. Tailored Counseling physically located at 2915 Jennifer Ln, Country Club MO, 64506-1016. NPI Number 1033115704 has the healthcare provider type.

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1235546052 NPI number is provided on an as is basis without warranty of any kind. 1235546052 is maintained by the National Plan & Provider Enumeration System. The contents of Tailored Counseling are for informational purposes only.