Provider Demographics
NPI:1467797415
Name:GUESS, LAUREL ANNE (PLPC)
Entity Type:Individual
Prefix:
First Name:LAUREL
Middle Name:ANNE
Last Name:GUESS
Suffix:
Gender:F
Credentials:PLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 HUTTON RD
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66109-4436
Mailing Address - Country:US
Mailing Address - Phone:913-207-7674
Mailing Address - Fax:913-745-8040
Practice Address - Street 1:2300 HUTTON RD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66109-4436
Practice Address - Country:US
Practice Address - Phone:913-207-7674
Practice Address - Fax:913-745-8040
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-03
Last Update Date:2012-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2455101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional