Individual
CASEY WALLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
32 S MIRIAM ST APT 6, CLAYCOMO, MO 64119-3141
(816) 701-9519
Mailing address
32 S MIRIAM ST APT 6, CLAYCOMO, MO 64119-3141
(816) 701-9519
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
03938
KS
Other
Enumeration date
01/17/2020
Last updated
03/27/2025
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