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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