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NPI Code Detail

MEDICARE: MS. DORIS A HOUSE LCPC

MEDICARE: MS. DORIS A HOUSE LCPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor225KS
2101YP2500XProfessional Counselor000056MO

General Provider Information

NPI Number : 1083632152
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DORIS A HOUSE LCPC
Provider Business Mailing Address
First Line : 1318 SE PRINCETON DR
Second Line :
City : LEES SUMMIT
State : MO
Zip : 64081-3174
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7800 W 110TH ST
Second Line : SUITE 112
City : OVERLAND PARK
State : KS
Zip : 66210-2304
Country : US
Telephone Number : 913-345-0033
Fax Number : 913-345-0177
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2006
Last Update Date : 07/08/2007

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Directions to “ MS. DORIS A HOUSE LCPC” Practice Location

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