Individual
JUSTIN CHONG DER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
14221 METCALF AVE STE 119, OVERLAND PARK, KS 66223-3301
(913) 214-2814
Mailing address
18733 S GREENWAY ST, OLATHE, KS 66062-9525
(913) 214-2814
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
04130
KS
101YP2500X
Professional Counselor
Primary
2959
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201324710A
—
KS
05
—
30004739430002
—
KS
Enumeration date
01/01/2020
Last updated
01/22/2026
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