Individual
KIM WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
8575 W 110TH ST STE 322, OVERLAND PARK, KS 66210-2620
(913) 461-2753
Mailing address
8575 W 110TH ST STE 322, OVERLAND PARK, KS 66210-2620
(913) 461-2753
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
03980
KS
Other
Enumeration date
01/19/2022
Last updated
01/19/2022
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