Individual
AUDRA NICOLE VANMATRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7223 W 95TH ST STE 220, OVERLAND PARK, KS 66212-6195
(913) 346-1516
Mailing address
6400 W 110TH ST STE 202, OVERLAND PARK, KS 66211-1585
(816) 607-1775
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
03779
KS
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
02/14/2018
Last updated
10/03/2023
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