Individual
MRS. JALAINE R FISHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
301 N 2ND ST, SUITE C, ODESSA, MO 64076-1137
(816) 633-5921
(816) 633-7942
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131
(660) 885-3690
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2006036525
MO
Other
Enumeration date
12/26/2006
Last updated
09/13/2010
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