Individual
HAILEY DENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 E 6TH ST, PARKVILLE, MO 64152-3703
(816) 587-4100
(816) 587-6691
Mailing address
400 E 6TH ST, PARKVILLE, MO 64152-3703
(816) 587-4100
(816) 587-6691
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2020003290
STATE LICENSE
MO
Enumeration date
05/12/2020
Last updated
05/12/2020
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