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General NPI Number Information
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NPI Number | 1982431490
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Entity Type | Organization
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Legal Business Name | JACKEL COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 09/18/2024
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Last Update Date | 09/18/2024
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Provider Practice Location Address
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Address Line | 601 E 63RD ST STE 340
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City | KANSAS CITY
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State | MO
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Zip | 64110-3303
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Country | US
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Telephone | 816-582-8280
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Fax |
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Provider Business Mailing Address
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Address Line | 601 E 63RD ST STE 340
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City | KANSAS CITY
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State | MO
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Zip | 64110-3303
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Country | US
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Telephone | 816-582-8280
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KINDRA JACKEL
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Credential | LPC
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Telephone | 816-582-8280
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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