Provider Demographics
NPI:1164727004
Name:HAGER, STEPHANIE CONNER (LPC)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:CONNER
Last Name:HAGER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3100 BROADWAY ST STE 218
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64111-2448
Mailing Address - Country:US
Mailing Address - Phone:816-753-2007
Mailing Address - Fax:816-753-5551
Practice Address - Street 1:3100 BROADWAY ST STE 218
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64111-2448
Practice Address - Country:US
Practice Address - Phone:816-753-2007
Practice Address - Fax:816-753-5551
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-25
Last Update Date:2011-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2010033034101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional