Doctor Name: | KATHLEEN G GROSE |
NPI Number: | 1134199805 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA |
License Number: | 2003030538 |
Business Practice Address: | 300 Galaxie Ave Harrisonville, MO - 647012084 |
Business Phone Number: | 8163805167 |
Business Fax Number: | 8163805841 |
Mailing Address: | 4820 Sw Leafwing Dr, LEES SUMMIT |
State: | MO |
Postal Code: | 640824865 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/25/2006 |
NPI Last Update Date: | 08/19/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 2003030538 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |