Individual
THOMSON TICUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8645 COLLEGE BLVD STE 125, OVERLAND PARK, KS 66210-2034
(316) 925-3943
Mailing address
13033 BOND ST, OVERLAND PARK, KS 66213-4464
(316) 925-3943
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3602
KS
Other
Enumeration date
05/28/2020
Last updated
05/28/2020
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