Provider Demographics
NPI:1316360670
Name:FRANKLIN, JASON (AMFT)
Entity type:Individual
Prefix:
First Name:JASON
Middle Name:
Last Name:FRANKLIN
Suffix:
Gender:M
Credentials:AMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:716 N 22ND ST STE 115
Mailing Address - Street 2:
Mailing Address - City:OZARK
Mailing Address - State:MO
Mailing Address - Zip Code:65721-8662
Mailing Address - Country:US
Mailing Address - Phone:417-844-2338
Mailing Address - Fax:
Practice Address - Street 1:716 N 22ND ST STE 115
Practice Address - Street 2:
Practice Address - City:OZARK
Practice Address - State:MO
Practice Address - Zip Code:65721-8662
Practice Address - Country:US
Practice Address - Phone:417-844-2338
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-22
Last Update Date:2025-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2019041060106H00000X
MO2021023240106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist