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NPI Code Detail

MEDICARE: JENNIFER JO ELIZABETH SALMON MS, PLPC

MEDICARE:   JENNIFER JO ELIZABETH SALMON  MS, PLPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor2009007212MO

General Provider Information

NPI Number : 1174758304
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER JO ELIZABETH SALMON MS, PLPC
Provider Business Mailing Address
First Line : 2123 N DOUGLAS AVE
Second Line :
City : SPRINGFIELD
State : MO
Zip : 65803-1431
Country : US
Telephone Number : 417-849-3765
Fax Number :
Provider Business Practice Location Address
First Line : 2123 N DOUGLAS AVE
Second Line :
City : SPRINGFIELD
State : MO
Zip : 65803-1431
Country : US
Telephone Number : 417-849-3765
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2009
Last Update Date : 05/18/2009

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Directions to “ JENNIFER JO ELIZABETH SALMON MS, PLPC” Practice Location

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