| Doctor Name: | LAURA THENO |
| NPI Number: | 1043617152 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 2704 |
| Business Practice Address: | 513 S 5th St Leavenworth, KS - 660482610 |
| Business Phone Number: | 9138283503 |
| Business Fax Number: | 9136800331 |
| Mailing Address: | 21350 W 153rd St, OLATHE |
| State: | KS |
| Postal Code: | 660615413 |
| Phone Number: | 9133224900 |
| Fax Number: | 9137801284 |
| NPI Enumeration Date: | 12/04/2014 |
| NPI Last Update Date: | 12/04/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 2704 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |