Individual
JADA LEA JESSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
403 DYSART ST, COLUMBIA, MO 65201-4323
(573) 442-6410
(573) 442-6420
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131
(660) 885-2393
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2002032348
MO
Other
Enumeration date
03/13/2008
Last updated
03/13/2008
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