Individual
MRS. KELLY ANN CLEVENGER OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1000 E 24TH STREET, UNIT 2D, KANSAS CITY, MO 64108
(816) 404-3896
(816) 404-3881
Mailing address
1000 E 24TH STREET, UNIT 2D, KANSAS CITY, MO 64108
(816) 404-3896
(816) 404-3881
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2011024383
MO
101YP2500X
Professional Counselor
Primary
2011024383
MO
Other
Enumeration date
09/08/2011
Last updated
09/08/2011
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