Individual
REBECCA LYNN BOREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
104 NE 72ND ST STE G, GLADSTONE, MO 64118-1830
(816) 922-9157
Mailing address
104 NE 72ND ST STE G, GLADSTONE, MO 64118-1830
(816) 922-9157
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2023044072
MO
101YP2500X
Professional Counselor
Primary
2025046848
MO
Other
Enumeration date
01/24/2024
Last updated
11/05/2025
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