Individual
MRS. KINDRA SUSAN JACKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
400 E 6TH ST, PARKVILLE, MO 64152-3703
(816) 452-8910
Mailing address
6011 BROOKSIDE BLVD, KANSAS CITY, MO 64113-1427
(816) 582-8280
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2004024712
MO
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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