Individual provider · Type 1 NPI

Gary Brett Jacques, MS, PLPC

Professional Counselor · Springfield, MO

NPI number 1134976608 Active

Practice location

1111 S Glenstone Ave
Springfield, MO 65804-0313

Call (417) 761-5800 Map

Mailing address

PO Box 844715
Kansas City, MO 64184-4715

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X2024034538 (MO)

Professional Counselor: Definition to come...

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About NPI 1134976608

Gary Brett Jacques, MS, PLPC's National Provider Identifier is 1134976608, issued on May 2, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Springfield, MO. The record was last updated on Sep 1, 2026.