Individual
JESSICA RACHEL BENDURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4264
(417) 761-5000
(417) 761-5011
Mailing address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4264
(417) 761-5000
(417) 761-5011
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2011033846
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14529926
CAQH
—
05
—
496617408
—
MO
Enumeration date
06/14/2011
Last updated
06/18/2024
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