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NPI Code Detail

MEDICARE: CASSIE DENNIS ATR-LPC

MEDICARE:   CASSIE  DENNIS  ATR-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 Counselor2013008643MO

General Provider Information

NPI Number : 1376087338
Entity Type Code : Individual
Provider Name (Legal Business Name) : CASSIE DENNIS ATR-LPC
Provider Business Mailing Address
First Line : PO BOX 28065
Second Line :
City : KANSAS CITY
State : MO
Zip : 64188-0065
Country : US
Telephone Number : 816-268-8501
Fax Number :
Provider Business Practice Location Address
First Line : 5950 N OAK TRFY
Second Line :
City : GLADSTONE
State : MO
Zip : 64118-5166
Country : US
Telephone Number : 816-268-8501
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2016
Last Update Date : 12/11/2016

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Directions to “ CASSIE DENNIS ATR-LPC” Practice Location

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