Provider Demographics
NPI:1780016105
Name:BASGALL, JAREE DANIELLE (LPC)
Entity Type:Individual
Prefix:
First Name:JAREE
Middle Name:DANIELLE
Last Name:BASGALL
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 1:7940 MARSHALL DR
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66214
Mailing Address - Country:US
Mailing Address - Phone:785-341-1909
Mailing Address - Fax:
Practice Address - Street 1:7940 MARSHALL DR
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66214-1562
Practice Address - Country:US
Practice Address - Phone:913-499-8100
Practice Address - Fax:913-499-8100
Is Sole Proprietor?:No
Enumeration Date:2013-08-08
Last Update Date:2013-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2530101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional