Individual
BERNICE E JARVIS-ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4264
(417) 761-5000
(417) 761-5011
Mailing address
PO BOX 844715, KANSAS CITY, MO 64184-4715
(417) 761-5214
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2022025196
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
474579189001
—
IL
Enumeration date
01/05/2018
Last updated
07/19/2024
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