Organization
COUNSELING & THERAPEUTIC SERVICES OF JOHNSON CO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARA WISDOM LCPC (OWNER)
(913) 963-9990
Entity
Organization
Contact information
Practice address
11900 W 87TH STREET PKWY STE 130, LENEXA, KS 66215-4517
(913) 963-9990
(816) 227-6931
Mailing address
8818 GOLDEN LN, DE SOTO, KS 66018-7501
(913) 963-9990
(816) 227-6931
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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