Individual
MITCHELL BELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3101 BROADWAY BLVD, KANSAS CITY, MO 64111-2659
(168) 960-2807
Mailing address
3100 NE 83RD ST, SUITE 1001, KANSAS CITY, MO 64119-4400
(816) 468-0400
(816) 468-6635
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
2012010674
MO
1041C0700X
Clinical Social Worker
Primary
2019028351
MO
Other
Enumeration date
04/10/2012
Last updated
06/19/2024
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