Individual
JILL ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3216 GILLHAM PLZ, KANSAS CITY, MO 64109-1742
(816) 533-5698
Mailing address
3216 GILLHAM PLZ, KANSAS CITY, MO 64109-1742
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3496
KS
Other
Enumeration date
05/14/2020
Last updated
05/14/2020
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