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Individual

SUSAN KAY WELLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC, NCC, LMAC

Contact information

Practice address
3105 W 135TH ST, LEAWOOD, KS 66224-7503
(913) 271-5083
Mailing address
9821 FOSTER ST, OVERLAND PARK, KS 66212-2360
(913) 271-5083

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
406
KS
101YM0800X
Mental Health Counselor
Primary
3076
KS

Other

Enumeration date
06/12/2018
Last updated
06/30/2022
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