Individual
MRS. BONNIE PENNINGTON WHALEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
9500 WORNALL RD, KANSAS CITY, MO 64114-3902
(816) 820-6133
(913) 345-2137
Mailing address
13830 METCALF AVE APT 15003, OVERLAND PARK, KS 66223-8024
(913) 345-2137
(913) 345-2135
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002709
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
219563
COM PSYCH
—
01
—
30773014
BLUE CROSS BLUE SHIELD
MO
Enumeration date
08/03/2006
Last updated
03/16/2020
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