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NPI Code Detail

MEDICARE: JADA REESE PLPC

MEDICARE: JADA REESE 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 Counselor2018007373MO

General Provider Information

NPI Number : 1235627068
Entity Type Code : Individual
Provider Name (Legal Business Name) : JADA REESE PLPC
Provider Business Mailing Address
First Line : 9834 SHEPHERDS CIR
Second Line :
City : KANSAS CITY
State : MO
Zip : 64131-3276
Country : US
Telephone Number : 816-500-5009
Fax Number :
Provider Business Practice Location Address
First Line : 300 E 36TH ST
Second Line :
City : KANSAS CITY
State : MO
Zip : 64111-1410
Country : US
Telephone Number : 816-508-1700
Fax Number : 816-508-1757
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2018
Last Update Date : 04/26/2018

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Directions to “ JADA REESE PLPC” Practice Location

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