Provider Demographics
NPI:1699123281
Name:FARROW, JENNIFER (PLPC)
Entity type:Individual
Prefix:MISS
First Name:JENNIFER
Middle Name:
Last Name:FARROW
Suffix:
Gender:F
Credentials:PLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2009 NE VILLAGE CT
Mailing Address - Street 2:
Mailing Address - City:BLUE SPRINGS
Mailing Address - State:MO
Mailing Address - Zip Code:64029-9651
Mailing Address - Country:US
Mailing Address - Phone:816-304-6170
Mailing Address - Fax:
Practice Address - Street 1:4200 LITTLE BLUE PKWY STE 360
Practice Address - Street 2:
Practice Address - City:INDEPENDENCE
Practice Address - State:MO
Practice Address - Zip Code:64057-8317
Practice Address - Country:US
Practice Address - Phone:816-304-6170
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-25
Last Update Date:2016-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health