Countryside Counseling Center, Llc

NPI 1104100833 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1104100833
Enumeration Date 09/29/2011
Last Updated 09/29/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name DEBRA LYNN DEBRA
Position EXECUTIVE DIRECTOR
Phone (620) 577-4955
Fax (620) 577-4956
Practice Location
601 MORNINGSIDE DR
INDEPENDENCE KS, 67301-1932, US
Phone (620) 577-4955
Fax (620) 577-4956
Business Location
601 MORNINGSIDE DR
INDEPENDENCE KS, 67301-1932, US
Phone (620) 577-4955
Fax (620) 577-4956
Toxanomy
Taxonomy Code 251S00000X
License State Kansas
License Number 103T00000X
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According to our database, Countryside Counseling Center, Llc NPI is 1104100833, taxonomy code is 251S00000X and license number is 103T00000X, license state is located at Kansas. Countryside Counseling Center, Llc physically located at 601 Morningside Dr, Independence KS, 67301-1932. NPI Number 1033115704 has the healthcare provider type.

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1104100833 NPI number is provided on an as is basis without warranty of any kind. 1104100833 is maintained by the National Plan & Provider Enumeration System. The contents of Countryside Counseling Center, Llc are for informational purposes only.