Moser, Jackie Dorothea

Moser, Jackie Dorothea is an individual health care provider with primary practice located at 708 S Woodbine Rd Ste A , Saint Joseph MO 64507-2098. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Moser, Jackie Dorothea can be contacted via phone (816) 618-6259.

Contact Information

Primary practice address
708 S Woodbine Rd Ste A Saint Joseph MO 64507-2098
Phone: (816) 618-6259
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 2013030909 Missouri

Profile Details

NPI number 1306270186
LBN Legal business name Moser, Jackie Dorothea
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2013
Last updated Mar 17th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306270186 NPPES
Missouri MEDICAID 10532862060

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