| Novo Counseling Kc Llc | |
|
7280 Nw 87th Ter Suite 210 Kansas City MO 64153-3720 | |
| (816) 841-7735 | |
| Not Available |
| Full Name | Novo Counseling Kc Llc |
|---|---|
| Speciality | Counselor |
| Location | 7280 Nw 87th Ter, Kansas City, Missouri |
| Authorized Official Name and Position | Nicole Flynn Jeckell (PARTNER) |
| Authorized Official Contact | 8162555794 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Novo Counseling Kc Llc 7280 Nw 87th Ter Suite 210 Kansas City MO 64153-3720 Ph: (816) 841-7735 | Novo Counseling Kc Llc 7280 Nw 87th Ter Suite 210 Kansas City MO 64153-3720 Ph: (816) 841-7735 |
| NPI Number | 1073939989 |
|---|---|
| Provider Enumeration Date | 03/16/2014 |
| Last Update Date | 06/02/2014 |
| Medicare PECOS PAC ID | 1355565656 |
|---|---|
| Medicare Enrollment ID | O20140606000124 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073939989 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Heather D Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528353810 PECOS PAC ID: 6901029594 Enrollment ID: I20140529001479 |
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