Noonan, Jacqueline Diane

Noonan, Jacqueline Diane is an individual health care provider with primary practice located at 300 Se 2Nd St , Lees Summit MO 64063-2759. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Noonan, Jacqueline Diane can be contacted via phone (816) 404-6170.

Contact Information

Primary practice address
300 Se 2Nd St Lees Summit MO 64063-2759
Phone: (816) 404-6170
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 25876 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X 06316 Maryland
Behavioral Health & Social Service Providers / Clinical 103TC0700X 02989 Kansas
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2021004232 Missouri

Profile Details

NPI number 1275281669
LBN Legal business name Noonan, Jacqueline Diane
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2022
Last updated Mar 14th, 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.

Request for update

Popular Providers