Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101Y00000X | Counselor | 2183 | KS |
NPI | 1003122219 |
---|---|
Provider Name | Mrs. Dondee L Eberhart |
First Address | Roeland Park, KS 66205-2416 |
Second Address | Roeland Park, KS 66205-2416 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/08/2010 |
Last Update Date | 25/08/2010 |