Individual
ALYSA KOENEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
5750 W 95TH ST, OVERLAND PARK, KS 66207-2920
(913) 956-8889
Mailing address
5301 W 65TH TER, MISSION, KS 66202-4310
(913) 956-8889
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3099
KS
Other
Enumeration date
10/31/2017
Last updated
10/31/2017
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