Individual
MANDY AYCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2317 N 86TH TER, KANSAS CITY, KS 66109-2059
(913) 638-1246
Mailing address
2317 N 86TH TER, KANSAS CITY, KS 66109-2059
(913) 638-1246
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2556
KS
Other
Enumeration date
03/03/2014
Last updated
10/27/2015
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