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Individual

MR. JOSEPH A SALVATO JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS LPC

Contact information

Practice address
10901 WINNER ROAD, INDEPENDENCE, MO 64052-0169
(816) 254-3652
(816) 254-9243
Mailing address
10901 WINNER ROAD, CARE OF CMHS INC QUALITY MANAGEMENT COORDINATOR, INDEPENDENCE, MO 64052-0169
(816) 254-3652
(816) 254-9243

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2001007440
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
29313011
BLUE CROSS BLUE SHIELD KC
MO
Enumeration date
11/20/2006
Last updated
07/08/2007
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