Individual
JASON SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
901 NE INDEPENDENCE AVE, LEES SUMMIT, MO 64086-5544
(816) 554-3041
Mailing address
901 NE INDEPENDENCE AVE, LEES SUMMIT, MO 64086-5544
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2011001331
MO
Other
Enumeration date
11/19/2013
Last updated
11/19/2013
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