Organization
R B SHONKWILER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT B SHONKWILER LPC (DIRECTOR OF COUNSELING SERVICES)
(816) 304-7793
Entity
Organization
Contact information
Practice address
12735 EWING AVE, GRANDVIEW, MO 64030-2055
(816) 304-7793
Mailing address
12735 EWING AVE, GRANDVIEW, MO 64030-2055
(816) 304-7793
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2007035389
MO
101YA0400X
Addiction (Substance Use Disorder) Counselor
2007035389
MO
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
11/01/2008
Last updated
11/01/2008
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