Provider Demographics
NPI:1891403895
Name:TONKS, SHIRLENE R (MAMFT)
Entity Type:Individual
Prefix:
First Name:SHIRLENE
Middle Name:R
Last Name:TONKS
Suffix:
Gender:F
Credentials:MAMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1902 MEADOWLANE
Mailing Address - Street 2:
Mailing Address - City:KEARNEY
Mailing Address - State:MO
Mailing Address - Zip Code:64060-8729
Mailing Address - Country:US
Mailing Address - Phone:816-682-5866
Mailing Address - Fax:
Practice Address - Street 1:1 VICTORY DR
Practice Address - Street 2:
Practice Address - City:LIBERTY
Practice Address - State:MO
Practice Address - Zip Code:64068-1942
Practice Address - Country:US
Practice Address - Phone:913-565-2131
Practice Address - Fax:913-225-7984
Is Sole Proprietor?:No
Enumeration Date:2022-11-08
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist