Individual
NIKOL AVERBUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LPT
Contact information
Practice address
4104 CENTRAL ST, KANSAS CITY, MO 64111-2307
(816) 974-7210
Mailing address
4104 CENTRAL ST, KANSAS CITY, MO 64111-2307
(816) 974-7210
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2008011716
MO
225100000X
Physical Therapist
2002020507
MO
Other
Enumeration date
01/13/2007
Last updated
02/27/2015
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