Individual
JACKIE NICHOLE MCCLELLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1420 NW VIVION RD STE 108, KANSAS CITY, MO 64118-4511
(816) 329-9107
Mailing address
13652 OAK VALLEY DR, PLATTE CITY, MO 64079-7828
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC04559
KS
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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