Individual
DR. JOHN S. SENNOTT III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1303 EDGEWOOD DR, JEFFERSON CITY, MO 65109-1943
(573) 634-5400
(573) 636-2639
Mailing address
PO BOX 104240, JEFFERSON CITY, MO 65110-4240
(573) 634-5400
(573) 636-2639
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
000160
MO
1041C0700X
Clinical Social Worker
000091
MO
106H00000X
Marriage & Family Therapist
30036
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
493243505
—
MO
Enumeration date
01/06/2006
Last updated
08/07/2008
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