Individual
JESSICA MICHELLE BEASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
600 W MORRISON ST, STE 18, FAYETTE, MO 65248-1075
(573) 999-2604
(660) 269-9200
Mailing address
600 W MORRISON ST, STE 18, FAYETTE, MO 65248-1075
(573) 999-2604
(660) 269-9200
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2013000295
MO
Other
Enumeration date
02/02/2013
Last updated
04/02/2015
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