Individual
MARY BRIDGET JENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMFT
Contact information
Practice address
21350 W 153RD ST, OLATHE, KS 66061-5413
(913) 322-4900
(913) 621-5730
Mailing address
21350 W 153RD ST, OLATHE, KS 66061-5413
(913) 322-4900
(913) 621-5730
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
736
KS
Other
Enumeration date
10/12/2007
Last updated
07/23/2010
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