Individual
BETHANY VROOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
6310 LAMAR AVE STE 100, MERRIAM, KS 66202-4284
(816) 288-2918
Mailing address
12409 E 56TH ST, KANSAS CITY, MO 64133-3097
(816) 651-0997
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2015016657
MO
1041C0700X
Clinical Social Worker
Primary
2618
KS
1041C0700X
Clinical Social Worker
LCPC
KS
Other
Enumeration date
03/16/2016
Last updated
09/29/2024
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