Organization
TERESA REICHART-VERNON, LSCSW LLC
Active
Other names
Teresa Reichart-Vernon, LSCSW
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA REICHART-VERNON LSCSW (OWNER)
(913) 207-7674
Entity
Organization
Contact information
Practice address
10601 KAW DR, STE. B, EDWARDSVILLE, KS 66111-1130
(913) 207-7674
(913) 745-8040
Mailing address
10601 KAW DR, STE. B, EDWARDSVILLE, KS 66111-1130
(913) 207-7674
(913) 745-8040
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LSCSW 1463
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100079970C
—
KS
01
—
36520013
BLUE CROSS BLUE SHIELD
KS
01
—
513729271
MHNET
KS
01
—
563233
VALUEOPTIONS
KS
01
—
831649000
MAGELLAN
KS
01
—
REICHART-VERNON
ENI/BMH
KS
Enumeration date
09/27/2010
Last updated
09/27/2010
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