Individual
MICHELLE KINNISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
2600 E 12TH ST, KANSAS CITY, MO 64127-1321
(816) 965-1125
Mailing address
2600 E 12TH ST, KANSAS CITY, MO 64127-1321
(816) 965-1125
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2015013203
MO
Other
Enumeration date
02/19/2019
Last updated
03/27/2024
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