Individual
MRS. MELISSA ANNE MCMANAMY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC-T
Contact information
Practice address
4061 INDIAN CREEK PARKWAY, SUITE 300, OVERLAND PARK, KS 66207-6620
(913) 444-6868
Mailing address
21 W 57TH ST, KANSAS CITY, MO 64113-1275
(816) 668-6262
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
04018T
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPC04018T
LICENSE - TEMP #
KS
Enumeration date
02/25/2022
Last updated
02/25/2022
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