Individual
SHANNON MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2515 LEXINGTON AVE, KANSAS CITY, MO 64124-1638
(316) 208-7833
Mailing address
2515 LEXINGTON AVE, KANSAS CITY, MO 64124-1638
(316) 208-7833
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2015004094
MO
Other
Enumeration date
01/24/2019
Last updated
01/24/2019
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