Individual
JESSICA VAIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LMFT
Contact information
Practice address
207 N WESTMINSTER DR, NIXA, MO 65714-9117
(316) 209-6625
Mailing address
2885 W BATTLEFIELD ST, SPRINGFIELD, MO 65807-3952
(417) 761-5000
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2025021215
MO
106H00000X
Marriage & Family Therapist
2778
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2778
BSRB
KS
05
—
30004348510001
—
KS
Enumeration date
10/06/2014
Last updated
09/10/2025
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