Individual
PHILIP MATEO SMALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
5400 COLLEGE BLVD STE B, OVERLAND PARK, KS 66211-1615
(913) 283-7704
Mailing address
9021 W 127TH TER, OVERLAND PARK, KS 66213-4661
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
04418
KS
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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