Provider Demographics
NPI:1407162308
Name:KNIGHT, VANESSA WRAY (LCPC, NCC)
Entity Type:Individual
Prefix:MRS
First Name:VANESSA
Middle Name:WRAY
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:LCPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:5401 COLLEGE BLVD
Mailing Address - Street 2:BUILDING 1, SUITE 102
Mailing Address - City:LEAWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66211-1923
Mailing Address - Country:US
Mailing Address - Phone:913-735-4899
Mailing Address - Fax:866-755-4670
Practice Address - Street 1:5401 COLLEGE BLVD
Practice Address - Street 2:BUILDING 1, SUITE 102
Practice Address - City:LEAWOOD
Practice Address - State:KS
Practice Address - Zip Code:66211-1923
Practice Address - Country:US
Practice Address - Phone:913-735-4899
Practice Address - Fax:866-755-4670
Is Sole Proprietor?:No
Enumeration Date:2010-08-30
Last Update Date:2013-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2188101YP2500X
KS2330101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional