Individual
GAGE HERRINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PLPC
Contact information
Practice address
3505 FREDERICK AVE, SAINT JOSEPH, MO 64506-2914
(816) 387-2300
Mailing address
3505 FREDERICK AVE, SAINT JOSEPH, MO 64506-2914
(816) 387-2839
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2017027614
MO
Other
Enumeration date
05/13/2019
Last updated
05/13/2019
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