Individual
MR. MARK S. SIEGMUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, LCPC
Contact information
Practice address
480 S ROGERS RD, OLATHE, KS 66062-1706
(913) 324-3608
Mailing address
8736 SUNRAY DR., LENEXA, KS 66227
(913) 832-4320
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
000860
MO
101YP2500X
Professional Counselor
Primary
310
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
493399133
—
MO
Enumeration date
12/21/2006
Last updated
09/27/2011
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