Individual
MAKENA LENGQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 NW BRIARCLIFF PKWY FL 2, KANSAS CITY, MO 64116-1878
(913) 717-7105
Mailing address
1201 NW BRIARCLIFF PKWY FL 2, KANSAS CITY, MO 64116-1878
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2018033175
MO
101Y00000X
Counselor
3306
KS
Other
Enumeration date
09/28/2018
Last updated
09/28/2018
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