DILLAN SOPH

ATCHISON, KS
NPI1033829791
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KS  00761)
Enumeration Date2022-12-02
Last Update Date2022-12-02
Business Address
DILLAN SOPH LCAC
1816 N 2ND ST
ATCHISON, KS 66002-1004
Phone number: 913-367-1618
Mailing Address
DILLAN SOPH LCAC
PO BOX 312
ATCHISON, KS 66002-0312
Phone number: 913-367-1618