Individual
DEANN L. BACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
17 E KANSAS ST STE 200, LIBERTY, MO 64068-2372
(816) 287-3816
Mailing address
1301 NE 102ND ST, KANSAS CITY, MO 64155-5001
(816) 255-6576
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2022040460
MO
Other
Enumeration date
01/08/2025
Last updated
01/08/2025
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