Individual provider · Type 1 NPI

Jennie South, LPC

Mental Health Counselor · Liberty, MO

NPI number 1912774746 Active

Practice location

9 Victory Dr Ste 3
Liberty, MO 64068-1967

Call (816) 268-8501 Map

Fax (816) 452-5700

Mailing address

PO Box 28065
Kansas City, MO 64188-0065

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X2021051206 (MO)

Mental Health Counselor: Definition to come...

6 other providers at this address

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About NPI 1912774746

Jennie South, LPC's National Provider Identifier is 1912774746, issued on Dec 12, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Liberty, MO. The record was last updated on Dec 12, 2023.