| Convergence Counseling Services Llc | |
|
6301 Rockhill Rd Ste 107i Kansas City MO 64131-1161 | |
| (816) 775-0702 | |
| (888) 802-7986 |
| Full Name | Convergence Counseling Services Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 6301 Rockhill Rd Ste 107i, Kansas City, Missouri |
| Authorized Official Name and Position | Johnessia Jackson (THERAPIST) |
| Authorized Official Contact | 8167750702 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Convergence Counseling Services Llc 7612 E 113th St Kansas City MO 64134-2946 Ph: (816) 775-0702 | Convergence Counseling Services Llc 6301 Rockhill Rd Ste 107i Kansas City MO 64131-1161 Ph: (816) 775-0702 |
| NPI Number | 1447850870 |
|---|---|
| Provider Enumeration Date | 10/26/2020 |
| Last Update Date | 11/22/2021 |
| Certification Date | 11/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447850870 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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