Jada Lea Jesse, LPC
Counselor, Professional in Columbia, MO. Individual provider (NPI-1).
NPI number1861663254
StatusActive
Last updated in NPPESMar 13, 2008
Details
- NPI
- 1861663254
- Entity type
- Individual (NPI-1)
- Name
- Jada Lea Jesse
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 13, 2008
- Last updated
- Mar 13, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 2002032348 | MO | Yes |
Practice location
403 Dysart StColumbia, MO 65201-4323
Phone 573-442-6410 · Fax 573-442-6420
Mailing address
1800 CommunityClinton, MO 64735-8804
Phone 660-885-8131 · Fax 660-885-2393
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