Individual
KELSI R GROVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
11695 S BLACKBOB RD, OLATHE, KS 66062-1058
(913) 768-6606
(913) 768-6609
Mailing address
8116 ANTIOCH RD, OVERLAND PARK, KS 66204-3533
(402) 304-5597
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3430
KS
Other
Enumeration date
06/26/2019
Last updated
06/26/2019
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