Individual
MISS MARY BELLCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
7001 BLUE RIDGE BLVD, RAYTOWN, MO 64133-5629
(816) 966-0900
(816) 347-3029
Mailing address
1555 NE RICE RD, LEES SUMMIT, MO 64086-5849
(816) 966-0900
(816) 347-3200
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2005036981
MO
101YM0800X
Mental Health Counselor
2735
KS
Other
Enumeration date
09/05/2006
Last updated
03/04/2025
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