Individual
SUZAN K COULTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMFT
Contact information
Practice address
11111 NALL AVE, SUITE 112, LEAWOOD, KS 66211-1625
(913) 593-9532
(913) 851-4002
Mailing address
11111 NALL AVE, SUITE 112, LEAWOOD, KS 66211-1625
(913) 593-9532
(913) 851-4002
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
745
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100117700A
—
KS
Enumeration date
03/28/2007
Last updated
09/06/2012
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