Individual
MRS. JULIE FADDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSCAT, LPC
Contact information
Practice address
3205 N TWYMAN RD, INDEPENDENCE, MO 64058-3211
(816) 249-5377
Mailing address
6422 W 51ST ST, MISSION, KS 66202-1678
(314) 719-6737
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
03/02/2015
Last updated
12/04/2015
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