Provider Demographics
NPI:1346252780
Name:TRAFTON, TERRY WILLIAM II (MS, LPC, NCC)
Entity type:Individual
Prefix:MR
First Name:TERRY
Middle Name:WILLIAM
Last Name:TRAFTON
Suffix:II
Gender:M
Credentials:MS, LPC, NCC
Other - Prefix:
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Mailing Address - Street 1:2211 CHARLOTTE ST
Mailing Address - Street 2:501
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64108-2733
Mailing Address - Country:US
Mailing Address - Phone:816-404-6267
Mailing Address - Fax:816-404-6272
Practice Address - Street 1:2211 CHARLOTTE ST
Practice Address - Street 2:501
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64108-2733
Practice Address - Country:US
Practice Address - Phone:816-404-6267
Practice Address - Fax:816-404-6272
Is Sole Proprietor?:No
Enumeration Date:2006-08-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2000149763101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health