Individual
MELISSA KINCHELOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9393 W 110TH ST, SUITE 345, OVERLAND PARK, KS 66210-1442
(913) 530-5651
Mailing address
14517 WOODSON ST, OVERLAND PARK, KS 66223-1154
(913) 530-5651
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
T-LMFT 2404
KS
Other
Enumeration date
12/06/2012
Last updated
12/06/2012
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