Search › Missouri › 1041C0700X
Kelly Jackson, LCSW
NPI 1598180630 · on the registry since 2014 · sole proprietor
Practice
- Address
- 409 Vandiver Dr
Building 4, Suite 102
Columbia, MO 65202 - Phone
- (573) 289-0792
- Fax
- (573) 442-7505
- Organisation at this address
- Ben F Batson Dds Pc
Bodymind Connections Llc
Philip A. Batson, Dds, Llc
New Day Counseling Center, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 18
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-11-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri