Individual
LUCAS PAUL TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
2600 E 12TH ST, KANSAS CITY, MO 64127-1321
(816) 966-0900
(816) 965-1140
Mailing address
1555 NE RICE RD, LEES SUMMIT, MO 64086-5849
(816) 347-3069
(816) 347-3200
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2012019908
MO
101YP2500X
Professional Counselor
2012019908
MO
Other
Enumeration date
07/18/2012
Last updated
06/08/2022
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