Organization
SUPPORTIVE SPACES COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER DOYLE LPC (OWNER)
(417) 448-7299
Entity
Organization
Contact information
Practice address
1601 W HICKORY ST, NEVADA, MO 64772-1727
(417) 667-1677
(417) 530-1479
Mailing address
1601 W HICKORY ST, NEVADA, MO 64772-1727
(417) 667-1677
(417) 530-1479
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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