Provider Demographics
NPI:1346639630
Name:HARMON-DODY, KRISTEN (LPC, LCPC)
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:
Last Name:HARMON-DODY
Suffix:
Gender:F
Credentials:LPC, LCPC
Other - Prefix:
Other - First Name:KRISTEN
Other - Middle Name:
Other - Last Name:DODY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC, LCPC
Mailing Address - Street 1:22052 W 66TH ST # 105
Mailing Address - Street 2:
Mailing Address - City:SHAWNEE
Mailing Address - State:KS
Mailing Address - Zip Code:66226-3500
Mailing Address - Country:US
Mailing Address - Phone:913-228-1884
Mailing Address - Fax:
Practice Address - Street 1:22052 W 66TH ST # 105
Practice Address - Street 2:
Practice Address - City:SHAWNEE
Practice Address - State:KS
Practice Address - Zip Code:66226-3500
Practice Address - Country:US
Practice Address - Phone:913-228-1884
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-09
Last Update Date:2023-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2015013790101Y00000X
101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor