person
Jackie Dewald
Professional Counselor in Springfield, Missouri
NPI 1437563160

Jackie Dewald is a Professional Counselor based in Springfield, MO and is specialized in Professional. Jackie Dewald practices in Springfield, MO. The NPI Number for Jackie Dewald is 1437563160 and holds a License No. 2014034446 (Missouri).

The current practice location address for Jackie Dewald is 3050 S National Ave Ste 104, Springfield, MO and can be reached out via phone at 417-597-4572 and via fax at 417-882-1507.

Location: 3050 S National Ave Ste 104, Springfield, MO, 65804-4242
person
Provider Profile Details
NPI Number
1437563160
Provider Name
Jackie Dewald
Credential
Provider Entity Type
Individual
Gender
Female
Address
3050 S National Ave Ste 104, Springfield, MO, 65804-4242
Phone Number
417-597-4572
Fax Number
417-882-1507
Provider Enumeration Date
06/20/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3050 S National Ave Ste 104
City
State
Zip
65804-4242
Phone Number
417-597-4572
Fax Number
417-882-1507
person
Provider Business Mailing Address Details
Address
3050 S National Ave Ste 104
City
State
Zip
65804-4242
Phone Number
417-597-4572
Fax Number
417-882-1507
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
2014034446 (Missouri)
Definition
Definition to come...
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