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Individual

ALICIA ELLIS PEERY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
901 NE INDEPENDENCE AVE, LEES SUMMIT, MO 64086-5544
(816) 246-8000
Mailing address
315 SW SEASIDE SPARROW ST, LEES SUMMIT, MO 64082-4520
(816) 347-3019

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002051
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
26428018
BCBS OF KC
MO
Enumeration date
02/21/2007
Last updated
07/08/2007
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