Individual
KELLEY GRBAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11 E 80TH ST, KANSAS CITY, MO 64114-2501
(785) 691-5767
Mailing address
11 E 80TH ST, KANSAS CITY, MO 64114-2501
(785) 691-5767
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2020008413
N/A
MO
Enumeration date
01/31/2022
Last updated
01/31/2022
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