Individual
ETIENNE CLATANOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2108 W 75TH ST STE D, PRAIRIE VILLAGE, KS 66208-3504
(913) 543-1707
Mailing address
2108 W 75TH ST STE D, PRAIRIE VILLAGE, KS 66208-3504
(913) 543-1707
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2008035370
MO
101YP2500X
Professional Counselor
Primary
2395
KS
Other
Enumeration date
11/06/2007
Last updated
04/16/2018
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