Doctor Name: | REBECCA A KAKUSKE |
NPI Number: | 1942287156 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS |
License Number: | 001712 |
Business Practice Address: | 312 W 19th St Higginsville, MO - 640371513 |
Business Phone Number: | 6605845600 |
Business Fax Number: | 6605845840 |
Mailing Address: | 1307 Kimberly Dr, WARRENSBURG |
State: | MO |
Postal Code: | 640932575 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 12/29/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 001712 |
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 |