Provider Demographics
NPI:1770063307
Name:CEDENO, KATLIN C (LPC)
Entity type:Individual
Prefix:
First Name:KATLIN
Middle Name:C
Last Name:CEDENO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:KATLIN
Other - Middle Name:C
Other - Last Name:WALSH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5401 COLLEGE BLVD
Mailing Address - Street 2:
Mailing Address - City:LEAWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66211-1923
Mailing Address - Country:US
Mailing Address - Phone:913-626-8905
Mailing Address - Fax:
Practice Address - Street 1:5401 COLLEGE BLVD STE 111
Practice Address - Street 2:
Practice Address - City:LEAWOOD
Practice Address - State:KS
Practice Address - Zip Code:66211-1626
Practice Address - Country:US
Practice Address - Phone:913-645-8556
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-14
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS3293101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS3293OtherSTATE