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General NPI Number Information
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NPI Number | 1295860542
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Entity Type | Individual
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Provider Name | BRANDY DAWN HADDOCK LPC
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Gender | Female
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Dates
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Enumeration Date | 02/23/2007
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 901 NE INDEPENDENCE AVE
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City | LEES SUMMIT
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State | MO
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Zip | 64086-5544
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Country | US
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Telephone | 816-347-3281
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Fax |
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Provider Business Mailing Address
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Address Line | 512 PALO VERDE DR
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City | BELTON
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State | MO
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Zip | 64012-3343
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Country | US
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Telephone | 816-425-5024
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Fax |
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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 | 1886
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2007012899
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 2007012899
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License Number State | MO
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | P0603020
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License Number State | AR
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