Individual
JACOB BACHELIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
10777 BARKLEY ST STE 120, OVERLAND PARK, KS 66211-1162
(913) 204-0582
Mailing address
10777 BARKLEY ST STE 120, OVERLAND PARK, KS 66211-1162
(913) 204-0582
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12451-T
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12451-T
STATE LIC,
KS
Enumeration date
01/13/2022
Last updated
01/13/2022
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