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Individual

CHRISTIAN L MCCLISH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSCP, LCP

Contact information

Practice address
9100 W 74TH ST, SHAWNEE MISSION, KS 66204-4004
(913) 961-0533
Mailing address
508 PREAKNESS DR, RAYMORE, MO 64083-8472
(913) 961-0533

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
029
KS

Other

Enumeration date
05/15/2007
Last updated
07/08/2007
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