Individual
AMY CONGDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1239 NE DOUGLAS, STE. C, LEES SUMMIT, MO 64086
(816) 200-1434
Mailing address
312 SW GREENWICH DR STE 618, LEES SUMMIT, MO 64082-4408
(503) 341-8746
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
03799
KS
101YM0800X
Mental Health Counselor
Primary
2020040586
MO
Other
Enumeration date
09/15/2021
Last updated
09/15/2021
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