Individual
MANDY GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
441 NW W HWY, KINGSVILLE, MO 64061-9117
(816) 308-0246
Mailing address
441 NW W HWY, KINGSVILLE, MO 64061-9117
(816) 286-8103
(816) 566-0486
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2018010809
MO
Other
Enumeration date
05/16/2018
Last updated
12/08/2023
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