Individual
JENNA HAMPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
1211 PORTER WAGONER BLVD, WEST PLAINS, MO 65775-1826
(417) 257-6762
Mailing address
1211 PORTER WAGONER BLVD, WEST PLAINS, MO 65775-1826
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2020025359
MO
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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