Individual
MARK CAREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7280 NW 87TH TER STE 210, KANSAS CITY, MO 64153-3706
(816) 944-3224
(816) 944-3224
Mailing address
1004 NW 113TH ST, KANSAS CITY, MO 64155-1891
(816) 739-1603
(816) 944-3224
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2015043541
MO
101YP2500X
Professional Counselor
Primary
2015043541
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100240930A
—
KS
Enumeration date
07/29/2015
Last updated
11/21/2022
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