Provider Demographics
NPI:1659846749
Name:NACE, KATHY EILEEN (LPC)
Entity Type:Individual
Prefix:
First Name:KATHY
Middle Name:EILEEN
Last Name:NACE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:KATHY NACE/CHRISTIAN PSYCHOLOGICAL SERVICES
Mailing Address - Street 2:8575 W 110TH ST STE 218
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66210-2620
Mailing Address - Country:US
Mailing Address - Phone:785-330-5754
Mailing Address - Fax:
Practice Address - Street 1:8575 W 110TH ST STE 218
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66210-2620
Practice Address - Country:US
Practice Address - Phone:785-330-5754
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-04
Last Update Date:2018-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS3295101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS3295OtherKANSAS BEHAVIORAL SCIENCES REGULATORY BOARD