Individual
JEREMY WAYNE CASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
105 E ASH ST, COLUMBIA, MO 65203-4094
(573) 777-7530
Mailing address
6335 W JUNGE BLVD, JOPLIN, MO 64804-8031
(620) 202-3110
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2021018466
MO
Other
Enumeration date
04/08/2019
Last updated
03/14/2025
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