Individual
JONATHAN MELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
110 S CHERRY ST STE 200, OLATHE, KS 66061-3441
(913) 335-2167
Mailing address
15411 S BROOKFIELD ST, OLATHE, KS 66062-7010
(913) 335-2167
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC04754
KS
101YM0800X
Mental Health Counselor
LPC04754
KS
101YP2500X
Professional Counselor
Primary
LPC04754
KS
Other
Enumeration date
10/11/2024
Last updated
10/11/2024
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