Individual
MRS. JESSICA LYNN HENDRICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5548 N FARMER BRANCH RD, OZARK, MO 65721-5315
(417) 322-6622
(417) 350-1935
Mailing address
3600 S NATIONAL AVE, SPRINGFIELD, MO 65807-7311
(417) 322-6622
(417) 350-1935
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2012041945
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2022007016
MISSOURI LPC LICENSE
MO
Enumeration date
01/03/2013
Last updated
04/26/2022
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