Search › Missouri › 1041C0700X
Jena Fouraker, LCSW, LSCSW
NPI 1972125193 · on the registry since 2020 · sole proprietor
Practice
- Address
- 1133 Nw South Shore Dr
Lake Waukomis, MO 64151 - Phone
- (816) 895-2533
Additional practice sites
- 7001 Blue Ridge Blvd, Raytown, MO
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-02-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri