Maggard, Jacob Michael

Maggard, Jacob Michael is an individual health care provider with primary practice located at 18600 E 37Th Ter S , Independence MO 64057-1707. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Maggard, Jacob Michael can be contacted via phone (816) 200-7254.

Contact Information

Primary practice address
18600 E 37Th Ter S Independence MO 64057-1707
Phone: (816) 200-7254
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 2022036664 Missouri

Profile Details

NPI number 1417531468
LBN Legal business name Maggard, Jacob Michael
Credentials PLMFT
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2021
Last updated Oct 4th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417531468 NPPES
Missouri Other 2022036664 PLMFT LICENSE#

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