Provider Demographics
NPI:1447597273
Name:OSBORNE, NAOMI JESSICA (LCMFT, LCAC)
Entity Type:Individual
Prefix:
First Name:NAOMI
Middle Name:JESSICA
Last Name:OSBORNE
Suffix:
Gender:F
Credentials:LCMFT, LCAC
Other - Prefix:
Other - First Name:NAOMI
Other - Middle Name:JESSICA
Other - Last Name:DUGGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:803 S HIGHLAND DR
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:KS
Mailing Address - Zip Code:67002-7810
Mailing Address - Country:US
Mailing Address - Phone:785-670-0524
Mailing Address - Fax:316-440-3474
Practice Address - Street 1:803 S HIGHLAND DR
Practice Address - Street 2:
Practice Address - City:ANDOVER
Practice Address - State:KS
Practice Address - Zip Code:67002-7810
Practice Address - Country:US
Practice Address - Phone:785-670-0524
Practice Address - Fax:316-440-3474
Is Sole Proprietor?:No
Enumeration Date:2013-01-14
Last Update Date:2021-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS595101YA0400X
KS2423106H00000X
KS2732106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)