Individual
MR. FRANK ANCONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW. CRAADC,SQP
Contact information
Practice address
1132 SW LUTTRELL RD STE F, BLUE SPRINGS, MO 64015-4900
(826) 224-4417
Mailing address
3420 SW LOIS LN, LEES SUMMIT, MO 64082-4130
(816) 547-7860
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1524
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1524
CERTIFIED SUBSTANCE ABUSE COUNSELOR
—
05
—
1524
—
MO
01
—
1525
CRAADC MISSOURI
MO
Enumeration date
04/03/2020
Last updated
04/03/2020
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