Individual
AMANDA OVERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3720 NE TROON DR, LEES SUMMIT, MO 64064-1988
(816) 878-1455
Mailing address
3720 NE TROON DR, LEES SUMMIT, MO 64064-1988
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2024029139
MO
Other
Enumeration date
03/17/2025
Last updated
03/17/2025
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