Individual
JESSICA LIDDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
400 E RED BRIDGE RD STE 314, KANSAS CITY, MO 64131-4031
(816) 892-0474
Mailing address
400 E RED BRIDGE RD STE 314, KANSAS CITY, MO 64131-4031
(816) 892-0474
(816) 508-1757
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2019039850
MO
Other
Enumeration date
10/23/2019
Last updated
11/07/2023
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