Individual
MRS. JENNIFER LYNN MCCUTCHEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4118 MILLER ST, BETHANY, MO 64424-7169
(660) 537-9030
Mailing address
2205 OAKLAND AVE, BETHANY, MO 64424-1348
(660) 537-9030
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2010038676
MO
Other
Enumeration date
11/18/2010
Last updated
11/18/2010
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