Individual
MS. TANYA ELAINE HESSONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
9200 INDIAN CREEK PKWY STE 660, OVERLAND PARK, KS 66210-2097
(913) 850-9100
Mailing address
6325 MAPLE DR, MISSION, KS 66202-4315
(913) 206-2906
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2253
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100098080A
—
KS
01
—
100098080C
SED WAIVER
KS
Enumeration date
01/10/2007
Last updated
09/11/2021
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