Individual
SHARA BREEZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
815 S CLAIRBORNE RD STE 225, OLATHE, KS 66062-1790
(913) 636-9773
Mailing address
14555 S SUMMIT ST, OLATHE, KS 66062-3348
(913) 636-9773
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
00887-T
KS
101YP2500X
Professional Counselor
3633
KS
Other
Enumeration date
10/13/2020
Last updated
10/15/2020
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