Individual
JESSICA NICOLE RAULS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1432 SOUTHWEST BLVD, JEFFERSON CITY, MO 65109-2444
(573) 632-5560
(573) 632-5875
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2020014769
MO
101YM0800X
Mental Health Counselor
2020014769
MO
101YP2500X
Professional Counselor
Primary
2020014769
MO
Other
Enumeration date
06/08/2020
Last updated
08/07/2025
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