Rebecca Kayleigh Bagunu
Counselor, Professional in Independence, MO. Individual provider (NPI-1).
NPI number1861237711
StatusActive
Last updated in NPPESJul 1, 2024
Details
- NPI
- 1861237711
- Entity type
- Individual (NPI-1)
- Name
- Rebecca Kayleigh Bagunu
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 1, 2024
- Certification date
- Jul 1, 2024
- Last updated
- Jul 1, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 2022020363 | MO | Yes |
Practice location
4200 Little Blue Pkwy Ste 360Independence, MO 64057-8317
Phone 816-710-8912
Mailing address
4200 Little Blue Pkwy Ste 360Independence, MO 64057-8317
Phone 816-710-8912
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