NPI | 1235551227 |
---|---|
Entity Type | Organization |
Authorized Contact | KELLEY JOHNSON Therapist/Partner 620-786-0311 |
Organization Subpart ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: KS 753) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS 244) |
Enumeration Date | 2014-01-10 |
Last Update Date | 2014-01-10 |