Basic Information
Provider Information
NPI: 1558721548
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALAGNA
FirstName: KATHY
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: LPC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5220 NW 60TH ST
Address2:  
City: KANSAS CITY
State: MO
PostalCode: 641514378
CountryCode: US
TelephoneNumber: 8162016545
FaxNumber: 8164208710
Practice Location
Address1: 119 NE 72ND ST
Address2:  
City: GLADSTONE
State: MO
PostalCode: 641181826
CountryCode: US
TelephoneNumber: 8164208419
FaxNumber: 8164208710
Other Information
ProviderEnumerationDate: 03/03/2016
LastUpdateDate: 03/03/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YM0800X2013044753MOY Behavioral Health & Social Service ProvidersCounselorMental Health

No ID Information.


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