Individual provider · Type 1 NPI

Jessica Kathleen Bakula

Professional Counselor · Sullivan, MO

NPI number 1104610872 Active

Practice location

101 Progress Pkwy
Sullivan, MO 63080-2359

Mailing address

1800 Community
Clinton, MO 64735-8804

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X2025009346 (MO)

Professional Counselor: Definition to come...

36 other providers at this address

Other professional counselor providers in Sullivan

See all in Sullivan →

About NPI 1104610872

Jessica Kathleen Bakula's National Provider Identifier is 1104610872, issued on Apr 8, 2025. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Sullivan, MO. The record was last updated on Apr 8, 2025.