Doctor Name: | KIMBERLY A FARAG |
NPI Number: | 1225433824 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 2677 |
Business Practice Address: | 7381 W 133rd St Suite 260 Overland Park, KS - 662134750 |
Business Phone Number: | 9136478092 |
Business Fax Number: | |
Mailing Address: | 5318 W 79th St, PRAIRIE VILLAGE |
State: | KS |
Postal Code: | 662084707 |
Phone Number: | 8167855595 |
Fax Number: | |
NPI Enumeration Date: | 10/27/2014 |
NPI Last Update Date: | 10/27/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 2677 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
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 |