Individual
MS. KIMBERLY DAWN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
10901 E WINNER RD, INDEPENDENCE, MO 64052-3755
(816) 254-3652
(816) 254-9243
Mailing address
10901 E WINNER RD, INDEPENDENCE, MO 64052-3755
(816) 254-3652
(816) 254-9243
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2009036113
MO
Other
Enumeration date
05/11/2010
Last updated
05/11/2010
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