Individual
MR. GREG E NEUBAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC, NCC
Contact information
Practice address
9205 E 40 HWY, INDEPENDENCE, MO 64055-6109
(816) 616-5163
Mailing address
826 W TRUMAN RD, INDEPENDENCE, MO 64050-2619
(816) 616-5163
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
002277
MO
101YP2500X
Professional Counselor
002277
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
494956907
—
MO
Enumeration date
07/28/2006
Last updated
05/11/2010
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