Individual
JENNIFER COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1120 S SPRINGFIELD AVE, BOLIVAR, MO 65613-2512
(417) 326-7814
(417) 326-4059
Mailing address
1120 S SPRINGFIELD AVE, BOLIVAR, MO 65613-2512
(417) 326-7814
(417) 326-4059
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2017005257
MO
103TB0200X
Cognitive & Behavioral Psychologist
Primary
2017037305
MO
103TC0700X
Clinical Psychologist
02938
KS
Other
Enumeration date
03/20/2017
Last updated
01/01/2026
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