Individual
BREANNA M CLYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
200 NE MISSOURI RD STE 307, LEES SUMMIT, MO 64086-4722
(816) 839-9427
Mailing address
200 NE MISSOURI RD STE 307, LEES SUMMIT, MO 64086-4722
(816) 839-9427
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
202102-78
MO
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06142021
—
MO
Enumeration date
07/12/2021
Last updated
04/09/2024
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