Individual provider · Type 1 NPI

Michael David Ciaccio, PLPC

Mental Health Counselor · Kansas City, MO

NPI number 1639440837 Active

Practice location

421 E 137th St
Kansas City, MO 64145

Mailing address

1401 SW Manor Lake Dr.
Lees, MO 64082

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X2011033840 (MO)

Mental Health Counselor: Definition to come...

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About NPI 1639440837

Michael David Ciaccio, PLPC's National Provider Identifier is 1639440837, issued on Jan 19, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Kansas City, MO. The record was last updated on Jan 19, 2012.