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NPI Code Detail

MEDICARE: MRS. JANET ANNETTE GLENSKI PETERSON MA, ATR-BC, LPC,LCPC

MEDICARE: MRS. JANET ANNETTE GLENSKI PETERSON MA, ATR-BC, LPC,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 Counselor317KS
2101YP2500XProfessional Counselor001706MO

General Provider Information

NPI Number : 1134288020
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JANET ANNETTE GLENSKI PETERSON MA, ATR-BC, LPC,LCPC
Provider Business Mailing Address
First Line : 6411 W 67TH ST
Second Line :
City : OVERLAND PARK
State : KS
Zip : 66202-4156
Country : US
Telephone Number : 913-362-6749
Fax Number :
Provider Business Practice Location Address
First Line : 8000 W 127TH ST
Second Line :
City : OVERLAND PARK
State : KS
Zip : 66213-2714
Country : US
Telephone Number : 816-508-3346
Fax Number : 816-508-3321
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2006
Last Update Date : 07/08/2007

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Directions to “ MRS. JANET ANNETTE GLENSKI PETERSON MA, ATR-BC, LPC,LCPC” Practice Location

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