MEDICARE: KERRY JOSSIE LMFT

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
1	106H00000X	Marriage & Family Therapist	3026	KS

General Provider Information

NPI Number	:	1861977852
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KERRY JOSSIE LMFT

Provider Business Mailing Address
First Line	:	3932 INDIANA RD
Second Line	:
City	:	POMONA
State	:	KS
Zip	:	66076-9058
Country	:	US
Telephone Number	:	316-641-9329
Fax Number	:

Provider Business Practice Location Address
First Line	:	3932 INDIANA RD
Second Line	:
City	:	POMONA
State	:	KS
Zip	:	66076-9058
Country	:	US
Telephone Number	:	316-641-9329
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/26/2018
Last Update Date	:	03/24/2023

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Directions to “ KERRY JOSSIE LMFT” Practice Location

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