Provider Demographics
NPI:1316765324
Name:GUEST, KECIA ANN (LPC)
Entity type:Individual
Prefix:MRS
First Name:KECIA
Middle Name:ANN
Last Name:GUEST
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3321 SW JARDINE CT
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66611-1850
Mailing Address - Country:US
Mailing Address - Phone:785-408-6491
Mailing Address - Fax:
Practice Address - Street 1:3321 SW JARDINE CT
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66611-1850
Practice Address - Country:US
Practice Address - Phone:785-408-6491
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-30
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS6267579573101YS0200X
KS04714101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool