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Individual

SHANICE BARNES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5820 NE 41ST ST APT A, KANSAS CITY, MO 64117-2904
(816) 335-8533
Mailing address
5820 NE 41ST ST APT A, KANSAS CITY, MO 64117-2904
(816) 335-8533

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
85-4203773
MO
Enumeration date
01/26/2021
Last updated
01/26/2021
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