Provider Demographics
NPI:1356099220
Name:MONSON, TAMICKA N (LPC)
Entity type:Individual
Prefix:MISS
First Name:TAMICKA
Middle Name:N
Last Name:MONSON
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 1:5515 FOXRIDGE DR STE 3
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:KS
Mailing Address - Zip Code:66202-1509
Mailing Address - Country:US
Mailing Address - Phone:913-346-6252
Mailing Address - Fax:
Practice Address - Street 1:5515 FOXRIDGE DR STE 3
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:KS
Practice Address - Zip Code:66202-1509
Practice Address - Country:US
Practice Address - Phone:913-346-6252
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-10
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04015101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health