Individual
BLAIRE M HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
200 MAINE ST STE A, LAWRENCE, KS 66044-1396
(785) 830-1882
Mailing address
4241 N GRAND AVE, KANSAS CITY, MO 64116-4516
(816) 797-7576
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
00822
KS
1041C0700X
Clinical Social Worker
Primary
05955
KS
1041C0700X
Clinical Social Worker
2023002041
MO
Other
Enumeration date
06/16/2015
Last updated
02/06/2023
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