Individual
JB STRONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LCPC, AAPS
Contact information
Practice address
10200 W 75TH ST, 113, OVERLAND PARK, KS 66204-2226
(913) 722-1118
(913) 871-4079
Mailing address
10200 W 75TH ST, 113, OVERLAND PARK, KS 66204-2226
(913) 722-1118
(913) 871-4079
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
161
KS
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
05310631
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27123023
BLUECROSS BLUESHIELD
KS
Enumeration date
06/02/2010
Last updated
06/02/2010
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