Individual
RACHEL MATLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
6721 W 121ST ST, LEAWOOD, KS 66209-2003
(816) 434-0958
Mailing address
5242 ALBERVAN ST, SHAWNEE, KS 66216-5124
(312) 515-7177
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
04404
KS
Other
Enumeration date
07/14/2023
Last updated
07/14/2023
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