Individual
KATHERINE S.T. JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
300 W 19TH TER, KANSAS CITY, MO 64108-2026
(816) 404-5815
(816) 404-5845
Mailing address
300 W 19TH TER, KANSAS CITY, MO 64108-2026
(816) 404-5815
(816) 404-5845
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
12/26/2013
Last updated
12/26/2013
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