| Jackie Ransom, Lpc, Llc | |
|
10700 E Westport Rd Independence MO 64052-3470 | |
| (816) 456-7730 | |
| Not Available |
| Full Name | Jackie Ransom, Lpc, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 10700 E Westport Rd, Independence, Missouri |
| Authorized Official Name and Position | Jacqueline Allison Ransom (OWNER) |
| Authorized Official Contact | 8164567730 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jackie Ransom, Lpc, Llc 1000 W Maple Ave Independence MO 64050-3410 Ph: (816) 785-7855 | Jackie Ransom, Lpc, Llc 10700 E Westport Rd Independence MO 64052-3470 Ph: (816) 456-7730 |
| NPI Number | 1346776135 |
|---|---|
| Provider Enumeration Date | 05/11/2017 |
| Last Update Date | 05/11/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346776135 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 20130044752 (Missouri) | Primary |
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