Individual
MARCY SHADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5702 NEWTON AVE, KANSAS CITY, MO 64129-2547
(816) 519-8677
Mailing address
11901 JESSICA LN, RAYTOWN, MO 64138-2639
(816) 710-5883
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2024010059
MO
Other
Enumeration date
05/12/2025
Last updated
05/12/2025
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