Individual provider · Type 1 NPI

Susan Hetrick, LPC

Professional Counselor · Kansas City, MO

NPI number 1164653283 Active

Practice location

7611 State Line Rd, Suite 226
Kansas City, MO 64114-6801

Fax (816) 926-9180

Mailing address

12120 State Line Rd
Leawood, KS 66209-1254

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X2005028633 (MO)

Professional Counselor: Definition to come...

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About NPI 1164653283

Susan Hetrick, LPC's National Provider Identifier is 1164653283, issued on Aug 6, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Kansas City, MO. The record was last updated on Aug 6, 2009.