Individual
GREGORY FLIESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1301 N 47TH ST, KANSAS CITY, KS 66102-1705
(913) 328-4600
Mailing address
2109 BROADWAY BLVD APT 106, KANSAS CITY, MO 64108-2038
(312) 213-1770
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2675
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100098080A
—
KS
01
—
100098080C
SED WAIVER
KS
Enumeration date
02/17/2017
Last updated
02/17/2017
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