Provider Demographics
NPI:1558443770
Name:WAXSE, LINDA JEAN (LCPC)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:JEAN
Last Name:WAXSE
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:JEAN
Other - Last Name:SCHILLING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9700 W 87TH ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66212-4563
Mailing Address - Country:US
Mailing Address - Phone:913-433-2061
Mailing Address - Fax:913-262-0818
Practice Address - Street 1:9700 W 87TH ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66212-4563
Practice Address - Country:US
Practice Address - Phone:913-433-2061
Practice Address - Fax:913-262-0818
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2008-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS045LCPC101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS29291015OtherBCBS OF KC