Individual
KENDRA VANFOSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, LMAC
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
101YA0400X
Addiction (Substance Use Disorder) Counselor
00904
KS
104100000X
Social Worker
Primary
11718
KS
Other
Enumeration date
12/01/2020
Last updated
04/19/2021
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