Individual
MEGAN ELIZABETH DEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1272 NE WINDSOR DR, LEES SUMMIT, MO 64086-5594
(816) 246-4465
Mailing address
1272 NE WINDSOR DR, LEES SUMMIT, MO 64086-5594
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2016013204
MO
101YP2500X
Professional Counselor
Primary
2016013204
MO
Other
Enumeration date
05/17/2017
Last updated
05/17/2017
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