Individual
THERSEA LYNN MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5750 W 95TH ST STE 220, OVERLAND PARK, KS 66207-2969
(913) 444-5602
Mailing address
12604 W 131ST ST, OVERLAND PARK, KS 66213-5020
(913) 526-6614
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3605
KS
Other
Enumeration date
06/08/2020
Last updated
06/08/2020
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