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Professional >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1710202320

Individual Registrant:
Gender: F
Sole Proprietor

Location and contact information for practice:
2001 W 68TH ST  MISSION HILLS, KS 66208-2221 US
Tel: 816-820-8869  Fax: 913-831-4143

Contact information for business:
2001 W 68TH ST  MISSION HILLS, KS 66208-2221 US
Tel: 816-820-8869  Fax: 913-831-4143

Registration Information:
NPI: 1710202320
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YP2500XBehavioral Health & Social Service Providers

Legacy codes, insurance codes and state license numbers:



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