Individual
MRS. BRENDA KAY LEE STOOPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMHC
Contact information
Practice address
3751 W MAIN ST, INDEPENDENCE, KS 67301-8446
(620) 331-1748
(620) 332-1940
Mailing address
PO BOX 688, INDEPENDENCE, KS 67301-0688
(620) 331-1748
(620) 332-1940
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
39001280A
IN
101YP2500X
Professional Counselor
Primary
LCPC2402
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17515
PARTNERS HEALTH PLAN
IN
05
—
200447760B
—
IN
01
—
4431
IUPM
IN
Enumeration date
11/02/2005
Last updated
03/09/2015
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