Individual
MS. KAY E FREYER-ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CRAADC, LPC
Contact information
Practice address
101 E GREGORY BLVD, KANSAS CITY, MO 64114-1119
(816) 806-7760
Mailing address
101 E GREGORY BLVD, KANSAS CITY, MO 64114-1119
(816) 806-7760
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
001294
MO
101YA0400X
Addiction (Substance Use Disorder) Counselor
871
MO
101YM0800X
Mental Health Counselor
001294
MO
101YP2500X
Professional Counselor
Primary
001294
MO
163W00000X
Registered Nurse
097768
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20253013
BLUE CROSS BLUE SHIELD
—
Enumeration date
06/12/2021
Last updated
06/12/2021
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