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NPI Code Detail

MEDICARE: LATANYA HULEEN DUMAS CRADC

MEDICARE:   LATANYA HULEEN DUMAS  CRADC
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
1101YA0400XAddiction (Substance Use Disorder) Counselor1890MO

General Provider Information

NPI Number : 1548935943
Entity Type Code : Individual
Provider Name (Legal Business Name) : LATANYA HULEEN DUMAS CRADC
Provider Business Mailing Address
First Line : 7943 CAMPBELL ST
Second Line :
City : KANSAS CITY
State : MO
Zip : 64131-2170
Country : US
Telephone Number : 816-678-9457
Fax Number :
Provider Business Practice Location Address
First Line : 7943 CAMPBELL ST
Second Line :
City : KANSAS CITY
State : MO
Zip : 64131-2170
Country : US
Telephone Number : 816-678-9457
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2021
Last Update Date : 08/09/2021

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Directions to “ LATANYA HULEEN DUMAS CRADC” Practice Location

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