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General NPI Number Information
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NPI Number | 1235265760
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Entity Type | Individual
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Provider Name | LISA PROSSER-DODDS LPC
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Gender | Female
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 19401 E US HIGHWAY 40 STE 140
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City | INDEPENDENCE
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State | MO
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Zip | 64055-5450
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Country | US
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Telephone | 816-373-6761
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Fax | 816-373-6761
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Provider Business Mailing Address
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Address Line | 19401 E US HIGHWAY 40 STE 140
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City | INDEPENDENCE
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State | MO
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Zip | 64055-5450
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Country | US
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Telephone | 816-373-6761
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Fax | 816-373-6761
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | MO2130
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MO2130
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License Number State | MO
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