Individual
KELSEY CORKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
12317 W 102ND ST, LENEXA, KS 66215-1817
(405) 684-1261
Mailing address
12317 W 102ND ST, LENEXA, KS 66215-1817
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
1053841080
CO
101YP2500X
Professional Counselor
90441
TX
Other
Enumeration date
06/13/2017
Last updated
07/31/2024
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