Bryan Kent, LPC-T

Individual provider Active NPI Professional Counselor · Pleasanton, KS

NPI 1609548296 · NPPES record last updated Oct 1, 2021

Key facts

NPI
1609548296
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
03866-T (KS)
Practice address
505 W 15TH St
Pleasanton, KS 66075-4095
Phone
(913) 352-8214
NPI assigned
Oct 1, 2021
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
03866-TKSMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor
Group: 193200000X MULTI-SPECIALTY GROUP
101YP2500X 03866-T KS Yes

Addresses

Primary practice location

505 W 15TH St
Pleasanton, KS 66075-4095

Mailing address

2304 N 81St St
Kansas City, KS 66109-2230
Phone (913) 963-8636

Other providers in Pleasanton, KS

All providers in Pleasanton, KS · Professional Counselor in Kansas

Sources for this page

Verify at the official NPI Registry.