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Individual

JENNIFER VERNON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, LPC

Contact information

Practice address
400 E 6TH ST, PARKVILLE, MO 64152-3703
(816) 587-4100
Mailing address
9227 SW JOSH RIDGE RD, TRIMBLE, MO 64492-7878
(816) 587-4100
(816) 587-6691

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CS002230
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CS002230
STATE LICENSE
MO
Enumeration date
03/26/2007
Last updated
07/08/2007
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