Organization
KANSAS CITY PSYCHOTHERAPY
Active
Organization
KANSAS CITY PSYCHOTHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF PETERSON LPC (COUNSELOR)
(816) 866-5524
Entity
Organization
Contact information
Practice address
9233 WARD PKWY, SUITE 305, KANSAS CITY, MO 64114-3366
(816) 301-4662
Mailing address
9233 WARD PKWY, SUITE 305, KANSAS CITY, MO 64114-3366
(816) 301-4662
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2011041053
MO
Other
Enumeration date
11/21/2015
Last updated
11/21/2015
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