Provider Demographics
NPI:1134288020
Name:GLENSKI PETERSON, JANET ANNETTE (MA, ATR-BC, LPC,LCPC)
Entity Type:Individual
Prefix:MRS
First Name:JANET
Middle Name:ANNETTE
Last Name:GLENSKI PETERSON
Suffix:
Gender:F
Credentials:MA, ATR-BC, LPC,LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6411 W 67TH ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66202-4156
Mailing Address - Country:US
Mailing Address - Phone:913-362-6749
Mailing Address - Fax:
Practice Address - Street 1:8000 W 127TH ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66213-2714
Practice Address - Country:US
Practice Address - Phone:816-508-3346
Practice Address - Fax:816-508-3321
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS317101YP2500X
MO001706101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional