Individual
COSENZA MARIA BRYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
21344 W. 153RD STREET, OLATHE, KS 66061
(816) 718-8982
Mailing address
2731 PARK AVE, KANSAS CITY, MO 64109
(816) 718-8982
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3031
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3031
—
KS
Enumeration date
06/01/2017
Last updated
06/01/2017
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