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Individual

JESSICA R GINTHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, PLPC, NCC

Contact information

Practice address
204 NE CHIPMAN RD, LEES SUMMIT, MO 64063-2404
(816) 682-1590
Mailing address
204 NE CHIPMAN RD, LEES SUMMIT, MO 64063-2404
(816) 682-1590

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2019040727
MO
106H00000X
Marriage & Family Therapist
2019040727
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2019040727
MISSOURI DEPARTMENT OF COMMERCE AND INSURANCE
MO
Enumeration date
11/19/2019
Last updated
11/19/2019
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