Individual
JENNIFER STIDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, PLPC
Contact information
Practice address
3350 W JACKSON RD, NIXA, MO 65714-7799
(417) 429-4146
Mailing address
3350 W JACKSON RD, NIXA, MO 65714-7799
(417) 429-4146
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2025038320
MO
Other
Enumeration date
09/12/2025
Last updated
09/12/2025
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