Individual
JONATHAN RIECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
107 W 9TH ST, KANSAS CITY, MO 64105-1705
(314) 827-5258
Mailing address
107 W 9TH ST, KANSAS CITY, MO 64105-1705
(314) 827-5258
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2022006642
MO
Other
Enumeration date
06/23/2023
Last updated
06/29/2023
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