Individual
RUTH VAN DAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3801 BLUE PKWY, KANSAS CITY, MO 64130-2807
(816) 922-7645
Mailing address
3801 BLUE PKWY, KANSAS CITY, MO 64130-2807
(816) 922-7645
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
#002056
MO
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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