Individual
RENEE HERRMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., LPC
Contact information
Practice address
5401 W 58TH TER, MISSION, KS 66205-2857
(918) 671-7025
Mailing address
23508 W 46TH ST, SHAWNEE, KS 66226-2508
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2264
KS
101YM0800X
Mental Health Counselor
2818
OK
Other
Enumeration date
10/20/2012
Last updated
10/20/2012
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