Wellman, Jade Rachael

Wellman, Jade Rachael is an sole proprietor health care provider with primary practice located at 2117 Sw Park Ave , Blue Springs MO 64015-7644. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Wellman, Jade Rachael can be contacted via phone (636) 344-0645.

Contact Information

Primary practice address
2117 Sw Park Ave Blue Springs MO 64015-7644
Phone: (636) 344-0645
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2016011184 Missouri

Profile Details

NPI number 1316391097
LBN Legal business name Wellman, Jade Rachael
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 19th, 2016
Last updated Nov 12th, 2025 - about last year

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 1316391097 NPPES
Missouri MEDICAID 490031448

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