Provider Demographics
NPI:1689551921
Name:JARRETT, EMILY (PLPC)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:JARRETT
Suffix:
Gender:F
Credentials:PLPC
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:
Other - Last Name:WEICHELT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PLPC
Mailing Address - Street 1:2804 FORUM BLVD STE 4
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65203-6322
Mailing Address - Country:US
Mailing Address - Phone:573-586-3204
Mailing Address - Fax:573-646-0159
Practice Address - Street 1:2804 FORUM BLVD STE 4
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65203-6322
Practice Address - Country:US
Practice Address - Phone:573-586-3204
Practice Address - Fax:573-646-0159
Is Sole Proprietor?:No
Enumeration Date:2025-08-19
Last Update Date:2025-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2023033876101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional