Provider Demographics
NPI:1679590442
Name:BURHOOP, JENNIFER ANN (LPC)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:ANN
Last Name:BURHOOP
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:
Other - Last Name:WATTS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:510 FRANCIS
Mailing Address - Street 2:STE 200
Mailing Address - City:ST JOSEPH
Mailing Address - State:MO
Mailing Address - Zip Code:64501
Mailing Address - Country:US
Mailing Address - Phone:816-364-1501
Mailing Address - Fax:816-364-6735
Practice Address - Street 1:510 FRANCIS
Practice Address - Street 2:STE 200
Practice Address - City:ST JOSEPH
Practice Address - State:MO
Practice Address - Zip Code:64501
Practice Address - Country:US
Practice Address - Phone:816-364-1501
Practice Address - Fax:816-364-6735
Is Sole Proprietor?:No
Enumeration Date:2006-07-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2003032104101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional