Individual
JESSICA MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1363 SCHOOL RD, LAKE OZARK, MO 65049-9789
(815) 302-8994
Mailing address
1363 SCHOOL RD, LAKE OZARK, MO 65049-9789
(815) 302-8994
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2021037895
MO
Other
Enumeration date
07/21/2022
Last updated
07/21/2022
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