Individual
JOHN SAMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9233 WARD PKWY STE 305, KANSAS CITY, MO 64114-3312
(816) 301-8868
Mailing address
1200 WARD PKWY, KANSAS CITY, MO 64112-2302
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10954
MO
Other
Enumeration date
08/23/2023
Last updated
08/23/2023
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