Individual
TAYLOR D QUALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
304 SE 3RD ST, LEES SUMMIT, MO 64063-2724
(913) 263-6006
Mailing address
304 SE 3RD ST, LEES SUMMIT, MO 64063-2724
(913) 263-6006
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2019043807
MO
Other
Enumeration date
11/20/2019
Last updated
11/27/2023
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