Individual
JENNIFER WESLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5620 W WILDWOOD RANCH PKWY, JOPLIN, MO 64804-4520
(417) 623-1990
Mailing address
5620 W WILDWOOD RANCH PKWY, JOPLIN, MO 64804-4520
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2016013359
MO
Other
Enumeration date
10/03/2017
Last updated
10/03/2017
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