Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 2867 | KS |
NPI | 1003314667 |
---|---|
Provider Name | Kathleen Mary Halling |
First Address | Overland Park, KS 66202-4088 |
Second Address | Overland Park, KS 66202-4088 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2018 |
Last Update Date | 30/01/2018 |