Provider Demographics
NPI:1134558422
Name:VANHOOSER, KATHRYN LYNN (LPC)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:LYNN
Last Name:VANHOOSER
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 1:15276 W FARM ROAD 38
Mailing Address - Street 2:
Mailing Address - City:ASH GROVE
Mailing Address - State:MO
Mailing Address - Zip Code:65604-8742
Mailing Address - Country:US
Mailing Address - Phone:417-773-5474
Mailing Address - Fax:
Practice Address - Street 1:15276 W FARM ROAD 38
Practice Address - Street 2:
Practice Address - City:ASH GROVE
Practice Address - State:MO
Practice Address - Zip Code:65604-8742
Practice Address - Country:US
Practice Address - Phone:417-773-5474
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-06
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2013044759101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health