Individual
JENNIFER AGEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8826 SANTA FE DR STE 206, OVERLAND PARK, KS 66212-3655
(913) 237-3011
(913) 904-1768
Mailing address
6317 THEDEN ST, SHAWNEE, KS 66218-8976
(913) 904-1768
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2001031979
MO
101YP2500X
Professional Counselor
Primary
2342
KS
101YP2500X
Professional Counselor
869
KS
Other
Enumeration date
01/13/2014
Last updated
01/13/2014
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