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Individual

JENNIFER M BABITZKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFT, T-LAC

Contact information

Practice address
12424 W 62ND TER, SUITE A, SHAWNEE, KS 66216-1810
(913) 735-4278
Mailing address
14110 W 89TH ST, LENEXA, KS 66215-2970
(913) 735-4278

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1315
KS
106H00000X
Marriage & Family Therapist
Primary
2536
KS

Other

Enumeration date
12/01/2015
Last updated
12/01/2015
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