Organization
CONVERGENCE COUNSELING SERVICES LLC
Active
Organization
CONVERGENCE COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNESSIA JACKSON LCSW (THERAPIST)
(816) 775-0702
Entity
Organization
Contact information
Practice address
6301 ROCKHILL RD STE 107I, KANSAS CITY, MO 64131-1161
(816) 775-0702
(888) 802-7986
Mailing address
7612 E 113TH ST, KANSAS CITY, MO 64134-2946
(816) 775-0702
(888) 802-7986
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/26/2020
Last updated
11/22/2021
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