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Organization

JENNA FORAKER,LPC, LLC

Active
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Organization

JENNA FORAKER,LPC, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNA FORAKER (THERAPIST)
(816) 682-3444
Entity
Organization

Contact information

Practice address
202 SE 2ND ST, LEES SUMMIT, MO 64063-2750
(816) 682-3444
Mailing address
202 SE 2ND ST, LEES SUMMIT, MO 64063-2750
(816) 682-3444

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2008030793
MO

Other

Enumeration date
04/06/2015
Last updated
04/06/2015
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