Individual
NANCY MCCORMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRAADC, LAC
Contact information
Practice address
12 E DARTMOUTH RD, KANSAS CITY, MO 64113-2525
(913) 558-8393
Mailing address
12 E DARTMOUTH RD, KANSAS CITY, MO 64113-2525
(913) 558-8393
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1207
KS
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1480
MO
Other
Enumeration date
03/03/2015
Last updated
03/03/2015
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