Individual
ANGELA WITHERSPOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
723 E 18TH ST, KANSAS CITY, MO 64108-1511
(816) 283-3877
(816) 283-3310
Mailing address
723 E 18TH ST, KANSAS CITY, MO 64108-1511
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
8883
MO
Other
Enumeration date
04/27/2016
Last updated
04/27/2016
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