Doctor Name: | MR. ALEX KIEFER |
NPI Number: | 1114089992 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC |
License Number: | 894 |
Business Practice Address: | 5000 Nw Valley View Rd Blue Springs, MO - 640152345 |
Business Phone Number: | 8162247960 |
Business Fax Number: | 8162241374 |
Mailing Address: | 1107 S Scott Ave, BELTON |
State: | MO |
Postal Code: | 640123278 |
Phone Number: | 8163228547 |
Fax Number: | |
NPI Enumeration Date: | 12/15/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 894 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KS |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |