Individual
JENNA M WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
1736 E SUNSHINE ST, SPRINGFIELD, MO 65804-1343
(417) 450-2158
Mailing address
1509 W SNIDER ST, OZARK, MO 65721-7371
(417) 450-2158
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2016040359
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
490037506
—
MO
Enumeration date
05/03/2016
Last updated
11/21/2024
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