Provider Information for 1922826759
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JEFFREY ALAN AYERS Ed.S., LPC, NCC
Sex: Male
NPI: 1922826759
Last Updated: 2024-10-01
Certification Date: 2024-10-01
Certification Date: 2024-10-01
Details
Name | Value | ||||||||
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NPI | 1922826759 | ||||||||
Enumeration Date | 2024-10-01 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | YES | ||||||||
Status | Active | ||||||||
Mailing Address | 6593 COUNTY ROAD 424 FULTON, MO 65251-6837 United States Phone: 573-220-8340 | Fax: | ||||||||
Primary Practice Address | 5687 COUNTY ROAD 4010 TEBBETTS, MO 65080-1611 United States Phone: 573-220-8340 | Fax: | ||||||||
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