Individual
COLLEEN MARIE INNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1601 E 18TH ST STE 224, KANSAS CITY, MO 64108-1754
(816) 548-7585
(844) 471-7844
Mailing address
1601 E 18TH ST STE 224, KANSAS CITY, MO 64108-1754
(816) 838-9665
(844) 471-7844
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2017035037
STATE LICENSE
MO
Enumeration date
10/31/2017
Last updated
08/23/2022
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