Individual
ANDREA WHALEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
905 C NORTH COMMERCIAL, HARRISONVILLE, MO 64701-1205
(816) 865-1236
Mailing address
905 C NORTH COMMERCIAL, HARRISONVILLE, MO 64701-1205
(816) 865-1236
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2012007112
MO
Other
Enumeration date
12/02/2021
Last updated
05/21/2024
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