Individual
NINA LEA MCDANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1231 E 21ST AVE, NORTH KANSAS CITY, MO 64116-3302
(337) 304-1220
Mailing address
1231 E 21ST AVE, NORTH KANSAS CITY, MO 64116-3302
(337) 304-1220
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
03137
KS
Other
Enumeration date
01/27/2022
Last updated
01/27/2022
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