Individual
MRS. LEAH BROOKE MATHESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LCPC, LPC, CCMHC
Contact information
Practice address
5251 W 116TH PL STE 209, LEAWOOD, KS 66211-7820
(913) 522-0961
Mailing address
5251 W 116TH PL STE 209, LEAWOOD, KS 66211-7820
(913) 522-0961
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2232
KS
101YP2500X
Professional Counselor
1887
KS
101YP2500X
Professional Counselor
2006031965
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201112220A
—
KS
Enumeration date
10/30/2007
Last updated
11/02/2023
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