Individual
ETHAN TAFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PLPC
Contact information
Practice address
501 N SUNSET LN, RAYMORE, MO 64083-9402
(816) 680-8752
Mailing address
6551 ROCKHILL RD APT 2423, KANSAS CITY, MO 64131-1185
(816) 785-9228
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2023028229
MO
Other
Enumeration date
07/19/2023
Last updated
07/19/2023
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