Individual
ANDREW PHILLIP SECOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA LCMFT LPC
Contact information
Practice address
480 S ROGERS RD, OLATHE, KS 66062-1706
(913) 324-3813
(913) 780-3387
Mailing address
480 S ROGERS RD, OLATHE, KS 66062-1706
(913) 324-3813
(913) 780-3387
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
044
KS
101YP2500X
Professional Counselor
2055
KS
106H00000X
Marriage & Family Therapist
Primary
768
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200633750A
—
KS
Enumeration date
10/28/2009
Last updated
09/12/2011
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