Individual
MRS. MELANIE CARRON KULICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSCSW, LCAC, LCSW
Contact information
Practice address
8700 STATE LINE RD STE 324, LEAWOOD, KS 66206-1572
(913) 907-9339
Mailing address
1120 W 77TH ST, KANSAS CITY, MO 64114-1658
(913) 907-9339
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
00806
KS
1041C0700X
Clinical Social Worker
Primary
05546
KS
1041C0700X
Clinical Social Worker
2022032276
MO
Other
Enumeration date
08/31/2017
Last updated
11/14/2023
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