Individual
MS. FAYE CLARE MAHER JURADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C. & L.M.A.C
Contact information
Practice address
6331 W 110TH ST, OVERLAND PARK, KS 66211-1509
(913) 696-1911
(913) 696-1619
Mailing address
12311 W 79TH TER, LENEXA, KS 66215-2603
(913) 203-8939
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
697
KS
101YP2500X
Professional Counselor
Primary
2139
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101YA0400X
—
KS
Enumeration date
09/28/2009
Last updated
01/06/2020
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