Individual
JENNIFER MELBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6440 NIEMAN RD, SHAWNEE, KS 66203-3326
(913) 826-4200
Mailing address
6000 LAMAR AVE STE 130, MISSION, KS 66202-3299
(913) 826-4200
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3043
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100240930A
—
KS
Enumeration date
07/07/2017
Last updated
03/19/2020
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