Individual
EMILIE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
16979 W 94TH ST, LENEXA, KS 66219-1939
(913) 653-4598
Mailing address
7622 W 96TH TER, OVERLAND PARK, KS 66212-2318
(913) 653-4598
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
14801
KS
Other
Enumeration date
08/23/2024
Last updated
08/23/2024
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