Individual
MRS. JENNIE SOUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
9 VICTORY DR STE 3, LIBERTY, MO 64068-1967
(816) 268-8501
(816) 452-5700
Mailing address
PO BOX 28065, KANSAS CITY, MO 64188-0065
(816) 268-8501
(816) 452-5700
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2021051206
MO
Other
Enumeration date
12/12/2023
Last updated
12/12/2023
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