Individual
REGINA STAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
11901 WORNALL RD, KANSAS CITY, MO 64145-1007
(816) 501-0491
Mailing address
1221 W 103RD ST, KANSAS CITY, MO 64114-4512
(816) 388-9792
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002579
MO
Other
Enumeration date
06/23/2021
Last updated
06/23/2021
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