Individual
ALEXIS JADE CHASTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 GENESSEE ST STE 912, KANSAS CITY, MO 64102-1051
(816) 648-4375
Mailing address
1600 GENESSEE ST STE 912, KANSAS CITY, MO 64102-1051
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/17/2025
Last updated
02/17/2025
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