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NPI Code Detail

MEDICARE: MRS. LETA DENICE BOND M.A. LPC

MEDICARE:  MRS. LETA DENICE BOND  M.A. LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorCS 001885MO

General Provider Information

NPI Number : 1285770677
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LETA DENICE BOND M.A. LPC
Provider Business Mailing Address
First Line : 400 S LAKESHORE DR
Second Line :
City : RAYMORE
State : MO
Zip : 64083-9771
Country : US
Telephone Number : 816-322-9153
Fax Number :
Provider Business Practice Location Address
First Line : 8150 WORNALL RD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64114-5806
Country : US
Telephone Number : 816-508-3506
Fax Number : 816-508-3535
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2007
Last Update Date : 07/09/2007

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Directions to “ MRS. LETA DENICE BOND M.A. LPC” Practice Location

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