Individual
BEN AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
3367 NE RALPH POWELL RD, LEES SUMMIT, MO 64064-2368
(816) 663-9751
Mailing address
3367 NE RALPH POWELL RD, LEES SUMMIT, MO 64064-2368
(816) 663-9751
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2025037873
MO
Other
Enumeration date
09/12/2025
Last updated
09/12/2025
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