Individual
RACHEL MARIE FESSENDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1301 N 47TH ST, KANSAS CITY, KS 66102-1705
(913) 563-6500
Mailing address
1301 N 47TH ST, KANSAS CITY, KS 66102-1705
(913) 563-6500
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9721
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10098080A
—
KS
01
—
1009808DC
SED WAIVER
KS
Enumeration date
07/21/2015
Last updated
07/21/2015
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