Individual
MS. JEANNIE ELIZABETH THURSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
10918 ELM AVE, KANSAS CITY, MO 64134-4108
(816) 875-0192
Mailing address
109 W HAUSER ST, MARCELINE, MO 64658-1120
(816) 875-0192
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2005041412
MO
Other
Enumeration date
02/19/2007
Last updated
12/23/2015
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