Individual
MS. ELYRIA VANDEGRIFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6114 MO-RTE9, PARKVILLE, MO 64152
(816) 459-0091
Mailing address
9428 N BALES AVE, KANSAS CITY, MO 64156-8900
(816) 459-0091
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2025032125
MO
Other
Enumeration date
02/19/2026
Last updated
02/19/2026
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