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NPI Code Detail

MEDICARE: TALIA FAITH MUSSER

MEDICARE: TALIA FAITH MUSSER
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 Counselor

General Provider Information

NPI Number : 1295598555
Entity Type Code : Individual
Provider Name (Legal Business Name) : TALIA FAITH MUSSER
Provider Business Mailing Address
First Line : 3010 IOWA ST
Second Line :
City : LEAVENWORTH
State : KS
Zip : 66048-4957
Country : US
Telephone Number : 913-300-0160
Fax Number :
Provider Business Practice Location Address
First Line : 8350 N SAINT CLAIR AVE STE 275
Second Line :
City : KANSAS CITY
State : MO
Zip : 64151-5114
Country : US
Telephone Number : 913-257-3161
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2024
Last Update Date : 01/31/2024

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Directions to “ TALIA FAITH MUSSER ” Practice Location

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