Organization
REACHING OUT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEREK LAMONT SPRUILL SR. (DIRECTOR)
(816) 678-3522
Entity
Organization
Contact information
Practice address
8716 LONGVIEW CT, KANSAS CITY, MO 64134-3674
(816) 678-3522
Mailing address
8716 LONGVIEW CT, P.O. BOX11602 KANSAS CITY, MISSOURI 64138, KANSAS CITY, MO 64134-3674
(816) 678-3522
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
MO
Other
Enumeration date
11/29/2007
Last updated
11/29/2007
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