Individual
JACOB MOTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED, PLPC
Contact information
Practice address
8383 E BLUE PKWY, KANSAS CITY, MO 64133-4750
(844) 424-3577
Mailing address
8383 E BLUE PKWY, KANSAS CITY, MO 64133-4750
(844) 424-3577
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2024003735
MO
Other
Enumeration date
08/10/2016
Last updated
11/21/2024
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