Individual
MRS. BAYLEE MARIE GOODERL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., LPC
Contact information
Practice address
1579 NE RICE RD, BLD. A, LEES SUMMIT, MO 64086-5849
(816) 581-5854
Mailing address
3900 SW EVERGREEN LN, LEES SUMMIT, MO 64082-4836
(816) 581-5854
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2015019406
MO
101YP2500X
Professional Counselor
Primary
2015019406
MO
Other
Enumeration date
12/23/2016
Last updated
07/07/2017
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