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Individual

EMMA KATHERINE CANNON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, LCMFT

Contact information

Practice address
9401 INDIAN CREEK PKWY STE 180, OVERLAND PARK, KS 66210-2090
(913) 210-0766
Mailing address
9401 INDIAN CREEK PKWY STE 180, OVERLAND PARK, KS 66210-2090
(913) 210-0766

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3073
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3178
BSRB - LCMFT
KS
Enumeration date
09/14/2019
Last updated
07/02/2023
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