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Individual

JAMI SOUKUP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC, RD

Contact information

Practice address
11695 S BLACKBOB RD, OLATHE, KS 66062-1058
(913) 768-6606
Mailing address
11695 S BLACKBOB RD, OLATHE, KS 66062-1058
(913) 768-6606

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2691
KS

Other

Enumeration date
10/28/2014
Last updated
10/28/2014
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