Individual
MRS. COURTNEY JENE CAULDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6801 W 121ST ST STE 107, OVERLAND PARK, KS 66209-2005
(913) 228-2915
Mailing address
6801 W 121ST ST STE 107, OVERLAND PARK, KS 66209-2005
(913) 228-2915
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3608
KS
Other
Enumeration date
06/10/2020
Last updated
06/24/2020
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