Individual
MELODY J ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
5201 JOHNSON DR STE 400, MISSION, KS 66205-2920
(913) 533-7486
Mailing address
5201 JOHNSON DR STE 400, MISSION, KS 66205-2920
(913) 533-7486
(913) 533-7486
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
11102
KS
101YM0800X
Mental Health Counselor
Primary
LSCSW05340
KY
Other
Enumeration date
06/05/2019
Last updated
07/06/2021
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