| Jenna Foraker,lpc, Llc | |
|
202 Se 2nd St Lees Summit MO 64063-2750 | |
| (816) 682-3444 | |
| Not Available |
| Full Name | Jenna Foraker,lpc, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 202 Se 2nd St, Lees Summit, Missouri |
| Authorized Official Name and Position | Jenna Foraker (THERAPIST) |
| Authorized Official Contact | 8166823444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jenna Foraker,lpc, Llc 202 Se 2nd St Lees Summit MO 64063-2750 Ph: (816) 682-3444 | Jenna Foraker,lpc, Llc 202 Se 2nd St Lees Summit MO 64063-2750 Ph: (816) 682-3444 |
| NPI Number | 1811382914 |
|---|---|
| Provider Enumeration Date | 04/06/2015 |
| Last Update Date | 04/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811382914 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 2008030793 (Missouri) | Primary |
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