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Individual

JAHI BOSEDA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRADC

Contact information

Practice address
3950 E 51ST ST, KANSAS CITY, MO 64130-3081
(816) 929-2600
Mailing address
1821 NE 49TH ST, KANSAS CITY, MO 64118-6006
(816) 679-2160

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6261
MO

Other

Enumeration date
06/02/2025
Last updated
06/02/2025
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