Organization
SECOND WIND COUNSELING & CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DACIA L. MOORE LPC (PRESIDENT/CEO)
(816) 767-9460
Entity
Organization
Contact information
Practice address
8301 STATE LINE RD, SUITE 200, KANSAS CITY, MO 64114-2025
(816) 767-9460
Mailing address
8301 STATE LINE RD, SUITE 200, KANSAS CITY, MO 64114-2025
(816) 767-9460
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
002758
MO
Other
Enumeration date
06/10/2014
Last updated
06/10/2014
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