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Individual

BRENDALEE R COPP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
9501 MOODY PARK CIR, OVERLAND PARK, KS 66212-5128
(816) 304-0434
(913) 246-0646
Mailing address
5901 MOODY PARK CIR, OVERLAND PARK, KS 66212-1852
(816) 304-0434

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
2751
KS
101YM0800X
Mental Health Counselor
2751
KS
101YP2500X
Professional Counselor
Primary
2751
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14031661
CAQH
Enumeration date
08/12/2015
Last updated
07/21/2022
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