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Individual

ASHLEY A SUBUH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCMFT, LMFT

Contact information

Practice address
1511 WESTPORT RD, KANSAS CITY, MO 64111-4307
(816) 200-7266
Mailing address
14340 W 116TH ST APT 3201, OLATHE, KS 66062-3856
(316) 461-1249

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2020019921
MO
106H00000X
Marriage & Family Therapist
2941
KS
106H00000X
Marriage & Family Therapist
2957
KS

Other

Enumeration date
01/08/2018
Last updated
08/01/2021
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