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Mr. Casey Eden Jackson, PLPC
Professional Counselor in Kansas City, Missouri
NPI 1811403660

Casey Eden Jackson is a Professional Counselor based in Kansas City, MO and is specialized in Professional. Casey Eden Jackson practices in Kansas City, MO and has the professional credentials of PLPC. The NPI Number for Casey Eden Jackson is 1811403660 and holds a License No. 2017009204 (Missouri).

The current practice location address for Casey Eden Jackson is 10918 Elm Ave Ste 102, Kansas City, MO and can be reached out via phone at 816-767-4230.

Location: 10918 Elm Ave Ste 102, Kansas City, MO, 64134-4108
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811403660
Provider Name
Casey Eden Jackson
Credential
PLPC
Provider Entity Type
Individual
Gender
Male
Address
10918 Elm Ave Ste 102, Kansas City, MO, 64134-4108
Phone Number
816-767-4230
Fax Number
Provider Enumeration Date
12/15/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10918 Elm Ave Ste 102
City
Kansas City
State
Missouri
Zip
64134-2284
Phone Number
816-767-4230
Fax Number
person
Provider Business Mailing Address Details
Address
10918 Elm Ave Ste 102
City
Kansas City
State
Missouri
Zip
64134-2284
Phone Number
816-767-4230
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
2017009204 (Missouri)
Definition
Definition to come...
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