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NPI Code Detail

MEDICARE: MS. DAWN RENE MCCREARY MS

MEDICARE: MS. DAWN RENE MCCREARY MS
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 Counselor001576MO
2106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1477543007
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DAWN RENE MCCREARY MS
Provider Business Mailing Address
First Line : 3100 BROADWAY ST
Second Line : SUITE 1104
City : KANSAS CITY
State : MO
Zip : 64111-2658
Country : US
Telephone Number : 816-753-3333
Fax Number :
Provider Business Practice Location Address
First Line : 3100 BROADWAY ST
Second Line : SUITE 1104
City : KANSAS CITY
State : MO
Zip : 64111-2658
Country : US
Telephone Number : 816-753-3333
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2005
Last Update Date : 09/11/2025

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