Individual
MICHELLE LYNN MATHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1125 W SPRUCE ST, OLATHE, KS 66061-3123
(913) 715-7700
(913) 826-1589
Mailing address
6000 LAMAR AVE, SUITE 130, MISSION, KS 66202-3234
(913) 831-2550
(913) 826-1589
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1965
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174513444
—
KS
Enumeration date
04/04/2008
Last updated
04/14/2011
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