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Contact Information

CHERYL A MARK, LPC
3601 NE RALPH POWELL ROAD
SUITE C
LEE'S SUMMIT, MO64064
 Phone: 816-810-7790
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for CHERYL A MARK · (Female)

NPI Number 1740494426
Status Active
Credentials LPC (Licensed Professional Counselor)
Entity Individual
Enumeration date 05/10/2007
Last updated 04/27/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • MO License # 2005007633
  • Other 37737016 BLUECROSS
  • MO Other 37737016 BLUE CROSS BLUE SHIELD
  • MO Other NOT ISSUED YET TRI-CARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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