Shane Petersen
Shane Petersen is a Marriage & Family Therapist in Overland Park, Kansas. Licensed in Kansas. Registered with an NPI since 2020.
- Licensed in
- KS
- In the registry since
- 2020
Practice location Address checks out
5600 W 95th St Ste 216Overland Park, KS 66207-2968
Phone: (913) 602-4039
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Marriage & Family Therapist (primary) | Taxonomy 106H00000X · Licence 3123 (KS) |
|---|
Record details
| NPI number | 1427698729 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 14, 2020 |
| Last updated in NPPES | January 14, 2020 |
| Certification date | January 14, 2020 |
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