Individual
MACKENZIE NICOLE SHANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, PLPC, NCC
Contact information
Practice address
3720 NE TROON DR, LEES SUMMIT, MO 64064-1988
(816) 508-5934
Mailing address
3720 NE TROON DR, LEES SUMMIT, MO 64064-1988
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2023046948
MO
Other
Enumeration date
02/07/2025
Last updated
02/07/2025
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