Individual
JUSTIN DONALD O'BRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5300 FOXRIDGE DR, MISSION, KS 66202-1554
(816) 221-0305
(816) 221-9121
Mailing address
2029 BUCHANAN ST, KANSAS CITY, MO 64116-3405
(816) 221-0305
(816) 221-9121
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/04/2023
Last updated
05/04/2023
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