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Organization
MEMOIR COUNSELING, LLC
Active
Organization
MEMOIR COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGAUX KERVIN LPC, CADC (PROVIDER)
(816) 866-0334
Entity
Organization
Contact information
Practice address
4731 S COCHISE DR STE 206, INDEPENDENCE, MO 64055-6975
(816) 373-6433
Mailing address
2906 NE RUSSELL RD, KANSAS CITY, MO 64117-2167
(913) 645-5733
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194244541
—
MO
Enumeration date
04/03/2020
Last updated
04/03/2020
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