MEDICARE: LAUREL ANNE GUESS PLPC

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	101YP2500X	Professional Counselor	2455	KS

General Provider Information

NPI Number	:	1467797415
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREL ANNE GUESS PLPC

Provider Business Mailing Address
First Line	:	2300 HUTTON RD
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66109-4436
Country	:	US
Telephone Number	:	913-207-7674
Fax Number	:	913-745-8040

Provider Business Practice Location Address
First Line	:	2300 HUTTON RD
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66109-4436
Country	:	US
Telephone Number	:	913-207-7674
Fax Number	:	913-745-8040

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

Provider Enumeration Date	:	12/03/2012
Last Update Date	:	12/20/2012

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