Organization
ACADEMY FOR COUNSELING & CHANGE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERICK DANIEL GROSSMAN PHD (PRESIDENT DIRECTOR)
(816) 968-9660
Entity
Organization
Contact information
Practice address
1010 CARONDELET DRIVE, SUITE 405, KANSAS CITY, MO 64114
(816) 968-9660
(816) 941-3802
Mailing address
1010 CARONDELET DRIVE, SUITE 405, KANSAS CITY, MO 64114
(816) 968-9660
(816) 941-3802
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY00897
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08570027
BCBS
—
Enumeration date
10/17/2006
Last updated
08/22/2020
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