Individual
MRS. AMANDA ROSE PENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
5808 W 110TH ST, OVERLAND PARK, KS 66211-2504
(913) 696-8000
(816) 302-9939
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
(816) 302-9939
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LCPC03458
LCPC
KS
Enumeration date
08/13/2012
Last updated
07/13/2023
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