Individual
KIERNAN GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
601 N MUR LEN RD STE 3, OLATHE, KS 66062-5416
(913) 214-1330
Mailing address
601 N MUR LEN RD STE 3, OLATHE, KS 66062-5416
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
04171
KS
Other
Enumeration date
09/29/2022
Last updated
07/11/2024
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