Vander Wal, Jillon S.

Vander Wal, Jillon S. is an individual health care provider with primary practice located at 4801 E Linwood Blvd , Kansas City MO 64128-2226. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Health Service. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Vander Wal, Jillon S. can be contacted via phone (816) 861-4700.

Contact Information

Primary practice address
4801 E Linwood Blvd Kansas City MO 64128-2226
Phone: (816) 861-4700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 2004021723 Missouri
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X LP03007 Kansas
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2004021723 Missouri
Behavioral Health & Social Service Providers / Health Service 103TH0100X LP03007 Kansas
Behavioral Health & Social Service Providers / Health Service 103TH0100X 2004021723 Missouri
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP03007 Kansas

Profile Details

NPI number 1467669960
LBN Legal business name Vander Wal, Jillon S.
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2007
Last updated May 31st, 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