Individual
KRISTEN MARIE BERTONCIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
6440 NIEMAN RD, SHAWNEE, KS 66203-3326
(913) 962-9955
(913) 826-1589
Mailing address
6000 LAMAR AVE, STE 130, MISSION, KS 66202-3234
(913) 831-2550
(913) 826-1589
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC 2284
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100098010B
—
KS
Enumeration date
04/19/2007
Last updated
08/29/2011
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