Individual
JESSECA KATE BERRYMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
112 WESTWOODS DR, LIBERTY, MO 64068-1181
(816) 803-3535
Mailing address
112 WESTWOODS DR, LIBERTY, MO 64068-1181
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2014001676
MO
Other
Enumeration date
01/27/2014
Last updated
09/08/2014
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