Gina Armitage, LPC

Individual provider Active NPI Professional Counselor · Independence, MO

NPI 1306226030 · NPPES record last updated Jun 8, 2015

Key facts

NPI
1306226030
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
2015016814 (MO)
Practice address
17844 E 23Rd St S
Independence, MO 64057-1840
Phone
(816) 254-3652
Fax
(816) 254-9243
NPI assigned
Jun 8, 2015
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2015016814MOMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2015016814 MO Yes

Addresses

Primary practice location

17844 E 23Rd St S
Independence, MO 64057-1840

Mailing address

17844 E 23Rd St S
Independence, MO 64057-1840
Phone (816) 254-3652

Other providers in Independence, MO

All providers in Independence, MO · Professional Counselor in Missouri

Sources for this page

Verify at the official NPI Registry.