Individual
MS. JADE RACHAEL WELLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2117 SW PARK AVE, BLUE SPRINGS, MO 64015-7644
(636) 344-0645
Mailing address
2117 SW PARK AVE, BLUE SPRINGS, MO 64015-7644
(636) 344-0645
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2016011184
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
490031448
—
MO
Enumeration date
04/19/2016
Last updated
11/12/2025
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