About

Caroline Song is a Mental Health Counselor in Raytown, Missouri. She has over 6 years of experience. Contact Caroline Song to request her Medicare information, payment methods she accepts, or to book an appointment.

Basic Data

Entity Type: Individual; Sole Proprietor

Organization Name: Fountain Of Youth Activity Center, LLC

Gender

Female

Years in Practice

6 years

Healthcare Provider Taxonomy

  • Code: 101YM0800X
  • Grouping: Behavioral Health & Social Service Providers
  • Classification: Counselor
  • Specialization: Mental Health

Credentials

  • Master of Arts (MA)
  • Provisional Licensed Professional Counselor (PLPC)

Licenses

Name License Number State
PLPC 2017044080 Verify MO

Practice Locations

8801 E 63rd St Ste 101

Raytown, MO 64133-4865

Phone Number: (816) 368-2000

Fax Number: (816) 533-6873

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