Individual
DORI VELASQUEZ-PEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCP
Contact information
Practice address
6000 LAMAR AVE, SUITE 130, MISSION, KS 66202-3234
(913) 831-2550
(913) 826-1589
Mailing address
6000 LAMAR AVE, STE 130, MISSION, KS 66202-3234
(913) 861-2550
(913) 826-1589
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
LCP 900
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200443310A
—
KS
Enumeration date
04/12/2007
Last updated
02/10/2012
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