Individual
KEALEY ANNE WILLIAMS ROACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
18600 E 37TH TER S, INDEPENDENCE, MO 64057-1707
(816) 350-0215
Mailing address
7306 NEWTON DR, OVERLAND PARK, KS 66204-1848
(816) 686-9499
(816) 836-2923
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2001018056
MO
101YP2500X
Professional Counselor
Primary
2001018056
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
495378317
—
MO
Enumeration date
03/02/2007
Last updated
08/21/2024
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