Individual
PAUL HENDRICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 NE MISSOURI RD, SUITE 200, LEES SUMMIT, MO 64086-4722
(816) 298-4862
(816) 251-4599
Mailing address
200 NE MISSOURI RD, SUITE 200, LEES SUMMIT, MO 64086-4722
(816) 298-4662
(816) 251-4599
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2002006998
MO
Other
Enumeration date
12/20/2005
Last updated
12/12/2011
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