Doctor Name: | MS. KATHLEEN MARIE HODES-LAMB |
NPI Number: | 1407926967 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCPC |
License Number: | 893 |
Business Practice Address: | 4101 W 54th Ter Suite B Roeland Park, KS - 662052416 |
Business Phone Number: | 9132691656 |
Business Fax Number: | |
Mailing Address: | 4101 W 54th Ter, Suite B ROELAND PARK |
State: | KS |
Postal Code: | 662052416 |
Phone Number: | 9132691656 |
Fax Number: | |
NPI Enumeration Date: | 11/09/2006 |
NPI Last Update Date: | 12/03/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 893 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KS |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |