Basic Information
Provider Information
NPI: 1639340334
EntityType: 2
ReplacementNPI:  
OrganizationName: ASAP EXPERT COUNSELING
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
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Credential:  
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Mailing Information
Address1: 8906 W 97
Address2:  
City: OVERLAND PARK
State: KS
PostalCode: 66212
CountryCode: US
TelephoneNumber: 9139526696
FaxNumber:  
Practice Location
Address1: 8906 W 97
Address2:  
City: OVERLAND PARK
State: KS
PostalCode: 66212
CountryCode: US
TelephoneNumber: 9139526696
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/20/2008
LastUpdateDate: 03/20/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
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ProviderGenderCode:  
AuthorizedOfficialLastName: FITZER
AuthorizedOfficialFirstName: DANA
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: EXECUTIVE DIRECTOR
AuthorizedOfficialTelephone: 9139526696
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
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NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1041C0700X  Y193400000X MULTIPLE SINGLE SPECIALTY GROUPBehavioral Health & Social Service ProvidersSocial WorkerClinical

No ID Information.


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