Individual
CASEY GUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC, NCC
Contact information
Practice address
6721 W 121ST ST, OVERLAND PARK, KS 66209-2003
(913) 961-7714
Mailing address
5340 DODSON AVE, KANSAS CITY, KS 66106-2252
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
04101
KS
Other
Enumeration date
07/13/2022
Last updated
07/13/2022
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