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Individual

SHANNON TOBABEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
6520 W 110TH ST STE 200A1, OVERLAND PARK, KS 66211-1898
(913) 735-5221
Mailing address
6520 W 110TH ST STE 200A1, OVERLAND PARK, KS 66211-1898
(913) 735-5221

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2932
KS
101YP2500X
Professional Counselor
Primary
03187
KS
101YP2500X
Professional Counselor
10248-125
WI

Other

Enumeration date
03/13/2019
Last updated
03/01/2023
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