Individual
KATRINA L PRUITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, NCC
Contact information
Practice address
3737 S ELIZABETH ST STE 200, INDEPENDENCE, MO 64057-1785
(816) 255-1500
Mailing address
605 SE ALGER DR, BLUE SPRINGS, MO 64014-5573
(719) 337-8947
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2020037488
MO
Other
Enumeration date
12/14/2020
Last updated
12/14/2020
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