Healthcare Provider Details

I. General information

NPI: 1467797415
Provider Name (Legal Business Name): LAUREL ANNE GUESS PLPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/03/2012
Last Update Date: 12/20/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 HUTTON RD
KANSAS CITY KS
66109-4436
US

IV. Provider business mailing address

2300 HUTTON RD
KANSAS CITY KS
66109-4436
US

V. Phone/Fax

Practice location:
  • Phone: 913-207-7674
  • Fax: 913-745-8040
Mailing address:
  • Phone: 913-207-7674
  • Fax: 913-745-8040

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2455
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: