Karen Penrod Ma Lcpc Llc | |
110 E Poplar St Olathe KS 66061-3306 | |
(913) 397-6666 | |
Not Available |
Full Name | Karen Penrod Ma Lcpc Llc |
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Speciality | Community/behavioral Health |
Location | 110 E Poplar St, Olathe, Kansas |
Authorized Official Name and Position | Karen Penrod (MA LCPC) |
Authorized Official Contact | 9133976666 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Karen Penrod Ma Lcpc Llc 110 E Poplar St Olathe KS 66061-3306 Ph: (913) 397-6666 | Karen Penrod Ma Lcpc Llc 110 E Poplar St Olathe KS 66061-3306 Ph: (913) 397-6666 |
NPI Number | 1982976528 |
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Provider Enumeration Date | 01/28/2012 |
Last Update Date | 01/28/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982976528 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 790 (Kansas) | Primary |
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