| NPI | 1164477386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANE JONES Office Manager 785-266-7732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: KS 00938) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: KS 001146) |
| 106H00000X Marriage & Family Therapist (Licence: KS 000257) | |
| 106H00000X Marriage & Family Therapist (Licence: KS 00732) | |
| 103TC1900X Psychologist Counseling (Licence: KS 000746) | |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2009-07-09 |