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NPI Code Detail

MEDICARE: MALLORIE LEEANN KLIEM LPC

MEDICARE:   MALLORIE LEEANN KLIEM  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 CounselorNONE

General Provider Information

NPI Number : 1154091544
Entity Type Code : Individual
Provider Name (Legal Business Name) : MALLORIE LEEANN KLIEM LPC
Provider Business Mailing Address
First Line : 308 SE ONYX DR
Second Line :
City : LEES SUMMIT
State : MO
Zip : 64063-5131
Country : US
Telephone Number : 816-944-1069
Fax Number :
Provider Business Practice Location Address
First Line : 1942 NW COPPER OAKS CIR
Second Line :
City : BLUE SPRINGS
State : MO
Zip : 64015-8300
Country : US
Telephone Number : 806-500-2070
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2021
Last Update Date : 12/09/2025

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Directions to “ MALLORIE LEEANN KLIEM LPC” Practice Location

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