Individual
CAITLIN CUSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMLP
Contact information
Practice address
8629 BLUEJACKET ST, STE 100, LENEXA, KS 66214-1604
(913) 677-3553
(913) 677-3282
Mailing address
8629 BLUEJACKET ST, STE 100, LENEXA, KS 66214-1604
(913) 677-3553
(913) 677-3282
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2689
KS
Other
Enumeration date
04/21/2016
Last updated
04/21/2016
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