Provider Demographics
NPI:1215589791
Name:RUPE, CHRISTINE E (LCPC)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:E
Last Name:RUPE
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5347 GLEASON RD
Mailing Address - Street 2:
Mailing Address - City:SHAWNEE
Mailing Address - State:KS
Mailing Address - Zip Code:66226-2785
Mailing Address - Country:US
Mailing Address - Phone:913-333-7209
Mailing Address - Fax:
Practice Address - Street 1:8400 W 110TH ST STE 610
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66210-2333
Practice Address - Country:US
Practice Address - Phone:913-631-3800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-15
Last Update Date:2019-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2631101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health