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General NPI Number Information
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NPI Number | 1407707094
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Entity Type | Organization
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Legal Business Name | KC INTEGRATIVE HEALTH AND WELLNESS LLC
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Dates
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Enumeration Date | 02/09/2026
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 401 N 13TH ST
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City | SAINT JOSEPH
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State | MO
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Zip | 64501-2331
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Country | US
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Telephone | 913-730-7181
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Fax |
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Provider Business Mailing Address
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Address Line | 3211 JENNIFER LN
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City | COUNTRY CLUB
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State | MO
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Zip | 64506-1022
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Country | US
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Telephone | 913-730-7181
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | JACLYN RENEE' POWELL
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Credential | MS, LCPC, LPC
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Telephone | 913-730-7181
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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