Individual
JENNIFER LYNN MALONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
611A W. MOUNT VERNON STREET, NIXA, MO 65714
(417) 872-6413
Mailing address
709 S LANTERN RDG, NIXA, MO 65714-8907
(417) 872-6413
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2008026605
MO
Other
Enumeration date
09/30/2008
Last updated
09/30/2008
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