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NPI Code Detail

MEDICARE: MS. STACEY ANDERSON OBRIEN LPC, NCC

MEDICARE:  MS. STACEY ANDERSON OBRIEN  LPC, NCC
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 Counselor2025028646MO

General Provider Information

NPI Number : 1336006428
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. STACEY ANDERSON OBRIEN LPC, NCC
Provider Business Mailing Address
First Line : 600 SW JEFFERSON ST STE 206
Second Line :
City : LEES SUMMIT
State : MO
Zip : 64063-3988
Country : US
Telephone Number : 816-554-7705
Fax Number : 816-554-7706
Provider Business Practice Location Address
First Line : 600 SW JEFFERSON ST STE 206
Second Line :
City : LEES SUMMIT
State : MO
Zip : 64063-3988
Country : US
Telephone Number : 816-554-7705
Fax Number : 816-554-7706
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2026
Last Update Date : 01/08/2026

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Directions to “ MS. STACEY ANDERSON OBRIEN LPC, NCC” Practice Location

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