Provider Demographics
NPI:1316212285
Name:PROBASCO-BURNS, LEAH KARMA (LPC, RPT-S)
Entity Type:Individual
Prefix:
First Name:LEAH
Middle Name:KARMA
Last Name:PROBASCO-BURNS
Suffix:
Gender:F
Credentials:LPC, RPT-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:633 E 63RD ST STE 230
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64110-3331
Mailing Address - Country:US
Mailing Address - Phone:816-214-1059
Mailing Address - Fax:816-214-1059
Practice Address - Street 1:633 E 63RD ST STE 230
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64110
Practice Address - Country:US
Practice Address - Phone:816-214-1059
Practice Address - Fax:816-214-1059
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-12
Last Update Date:2018-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2010022932101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health