Individual
SHANTEL NICO HAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
11901 JESSICA LN, RAYTOWN, MO 64138-2639
(816) 203-8513
(816) 886-7632
Mailing address
11901 JESSICA LN, RAYTOWN, MO 64138-2639
(816) 203-8513
(816) 886-7632
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2022016958
MO
Other
Enumeration date
04/28/2023
Last updated
07/26/2023
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