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Lara M Wisdom
Mental Health Counselor in Lenexa, Kansas
NPI 1184250979

Lara M Wisdom is a Mental Health Counselor based in De Soto, KS and is specialized in Mental Health. Lara M Wisdom practices in Lenexa, KS. The NPI Number for Lara M Wisdom is 1184250979 and holds a License No. 3527 (Kansas).

The current practice location address for Lara M Wisdom is 11900 W 87Th Street Pkwy Ste 130, Lenexa, KS and can be reached out via phone at 615-571-3982.

Location: 11900 W 87Th Street Pkwy Ste 130, Lenexa, KS, 66018-7501
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184250979
Provider Name
Lara M Wisdom
Credential
Provider Entity Type
Individual
Gender
Female
Address
11900 W 87Th Street Pkwy Ste 130, Lenexa, KS, 66018-7501
Phone Number
615-571-3982
Fax Number
Provider Enumeration Date
03/12/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11900 W 87Th Street Pkwy Ste 130
City
Lenexa
State
Kansas
Zip
66215-4517
Phone Number
615-571-3982
Fax Number
person
Provider Business Mailing Address Details
Address
11900 W 87Th Street Pkwy Ste 130
City
Lenexa
State
Kansas
Zip
66215-4517
Phone Number
615-571-3982
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
3527 (Kansas)
Definition
Definition to come...
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