Individual
JEFFREY DAYTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PLPC
Contact information
Practice address
2901 TROOST AVE, KANSAS CITY, MO 64109-1538
(816) 645-0121
Mailing address
16209 E 28TH ST S, INDEPENDENCE, MO 64055-2213
(816) 885-3011
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2019013489
MO
101YM0800X
Mental Health Counselor
2019013489
MO
Other
Enumeration date
05/21/2020
Last updated
05/21/2020
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