Individual
MRS. LINDSAY NICHOLE POWELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1307 JOHNSTON DR, RAYMORE, MO 64083-9680
(816) 592-1900
Mailing address
1307 JOHNSTON DR, RAYMORE, MO 64083-9680
(816) 592-1900
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2004024728
MO
101YM0800X
Mental Health Counselor
2004024728
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
499085405
—
MO
Enumeration date
02/09/2006
Last updated
07/07/2021
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