Individual
JORDAN KRISTINE GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 N 47TH ST, KANSAS CITY, KS 66102-1705
(913) 287-0007
Mailing address
4850 W 207TH ST, BUCYRUS, KS 66013-8502
(913) 710-8006
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3516
KS
Other
Enumeration date
10/08/2019
Last updated
10/08/2019
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