Individual
CRYSTAL COAKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, PLPC
Contact information
Practice address
110 WESTWOODS DR, LIBERTY, MO 64068-1181
(816) 200-0144
Mailing address
26222 LOUISA DR, EXCELSIOR SPRINGS, MO 64024-8196
(816) 776-9059
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2023029374
MO
Other
Enumeration date
10/05/2023
Last updated
10/05/2023
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