Individual
MADISON FLYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
3100 NE 83RD ST STE 1001, KANSAS CITY, MO 64119-4460
(816) 468-0400
Mailing address
8700 N HICKORY ST APT 722, KANSAS CITY, MO 64155-4112
(816) 550-9672
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2024049248
MO
101YM0800X
Mental Health Counselor
Primary
2024049248
MO
101YP2500X
Professional Counselor
2024049248
MO
Other
Enumeration date
12/31/2024
Last updated
12/31/2024
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