Individual
MR. XINLI FAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT, LCMFT
Contact information
Practice address
1535 NE RICE RD, LEES SUMMIT, MO 64086-5849
(816) 966-0900
(816) 347-3200
Mailing address
6510 E 128TH TER, GRANDVIEW, MO 64030-1923
(913) 228-1081
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
03120
KS
106H00000X
Marriage & Family Therapist
Primary
2022011310
MO
Other
Enumeration date
03/16/2018
Last updated
10/24/2024
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