Individual
JASON F ZOELLERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1272 NE WINDSOR DR, LEES SUMMIT, MO 64086
(816) 246-4465
(816) 524-7008
Mailing address
1272 NE WINDSOR DR, LEES SUMMIT, MO 64086-5594
(816) 246-4465
(816) 524-7008
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2018034138
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11558000
CAQH
—
Enumeration date
03/29/2006
Last updated
10/28/2019
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