Individual
MICHAEL SHAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L-MFT
Contact information
Practice address
4049 CENTRAL ST, KANSAS CITY, MO 64111-2207
(913) 274-9767
Mailing address
4049 CENTRAL ST, KANSAS CITY, MO 64111-2207
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2018040928
MO
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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