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Individual

JENNIFER HARGROVE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1320 E KINGSLEY ST STE A, SPRINGFIELD, MO 65804
(417) 343-4083
(417) 882-4155
Mailing address
1320 E KINGSLEY ST STE A, SPRINGFIELD, MO 65804-7228
(417) 343-4083
(417) 882-4115

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2015008852
MO
101YP2500X
Professional Counselor
Primary
2015008852
MO

Other

Enumeration date
03/26/2015
Last updated
04/03/2022
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