Provider Demographics
NPI:1346975547
Name:COUNTEE, ELIZABETH JULIA (MS, CGC)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:JULIA
Last Name:COUNTEE
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12800 SAINT ANDREWS DR
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64145-1230
Mailing Address - Country:US
Mailing Address - Phone:913-574-3317
Mailing Address - Fax:
Practice Address - Street 1:4115 WARWICK BLVD APT 2
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64111-1662
Practice Address - Country:US
Practice Address - Phone:913-574-3317
Practice Address - Fax:913-574-1274
Is Sole Proprietor?:No
Enumeration Date:2022-07-21
Last Update Date:2022-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS