Individual
KIMBERLY A FARAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
7381 W 133RD ST, SUITE 260, OVERLAND PARK, KS 66213-4750
(913) 647-8092
Mailing address
5318 W 79TH ST, PRAIRIE VILLAGE, KS 66208-4707
(816) 785-5595
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2677
KS
Other
Enumeration date
10/27/2014
Last updated
10/27/2014
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