Individual
MR. ELIJAH LORENZ BUCHHOLZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC, LCAC, LPC
Contact information
Practice address
901 NE INDEPENDENCE AVE, LEES SUMMIT, MO 64086-5544
(816) 347-3222
Mailing address
12718 KING ST, OVERLAND PARK, KS 66213-4445
(913) 709-5540
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
598
KS
101YM0800X
Mental Health Counselor
Primary
2018044784
MO
101YP2500X
Professional Counselor
2363
KS
Other
Enumeration date
03/27/2008
Last updated
01/23/2019
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