Provider Demographics
NPI:1972744738
Name:KINDERKNECHT, JAIME ELIZABETH (LCPC)
Entity type:Individual
Prefix:MRS
First Name:JAIME
Middle Name:ELIZABETH
Last Name:KINDERKNECHT
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 E 12TH ST
Mailing Address - Street 2:
Mailing Address - City:HAYS
Mailing Address - State:KS
Mailing Address - Zip Code:67601-3608
Mailing Address - Country:US
Mailing Address - Phone:785-628-3575
Mailing Address - Fax:
Practice Address - Street 1:323 MAIN ST
Practice Address - Street 2:SUITE 4
Practice Address - City:QUINTER
Practice Address - State:KS
Practice Address - Zip Code:67752-9526
Practice Address - Country:US
Practice Address - Phone:785-628-3575
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-09
Last Update Date:2009-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS321101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health