Individual
JACKIE PATTISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
4800 COLLEGE BLVD STE 1, OVERLAND PARK, KS 66211-1835
(913) 530-2577
Mailing address
4800 COLLEGE BLVD STE 1, OVERLAND PARK, KS 66211-1835
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2267
KS
Other
Enumeration date
02/13/2017
Last updated
02/13/2017
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