Provider Demographics
NPI:1811061179
Name:SALVATO, JOSEPH A JR (MS LPC)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:A
Last Name:SALVATO
Suffix:JR
Gender:M
Credentials:MS LPC
Other - Prefix:
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Mailing Address - Street 1:10901 WINNER ROAD
Mailing Address - Street 2:CARE OF CMHS INC QUALITY MANAGEMENT COORDINATOR
Mailing Address - City:INDEPENDENCE
Mailing Address - State:MO
Mailing Address - Zip Code:64052-0169
Mailing Address - Country:US
Mailing Address - Phone:816-254-3652
Mailing Address - Fax:816-254-9243
Practice Address - Street 1:10901 WINNER ROAD
Practice Address - Street 2:
Practice Address - City:INDEPENDENCE
Practice Address - State:MO
Practice Address - Zip Code:64052-0169
Practice Address - Country:US
Practice Address - Phone:816-254-3652
Practice Address - Fax:816-254-9243
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2001007440101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO29313011OtherBLUE CROSS BLUE SHIELD KC