| Kristy Mccollum-wachter, | |
|
11120 W 65th St, Shawnee, KS 66203-5504 | |
| (913) 826-4200 | |
| Not Available |
| Full Name | Kristy Mccollum-wachter |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 11120 W 65th St, Shawnee, Kansas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154537488 | NPI | - | NPPES |
| 100098010D | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 176 (Kansas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kristy Mccollum-wachter, 6000 Lamar Ave, Ste 1300, Mission, KS 66202-3234 Ph: (913) 826-4200 | Kristy Mccollum-wachter, 11120 W 65th St, Shawnee, KS 66203-5504 Ph: (913) 826-4200 |
Jennifer Melby, LPC Counselor Medicare: Medicare Enrolled Practice Location: 6440 Nieman Rd, Shawnee, KS 66203 Phone: 913-826-4200 | |
Douglas Johnson, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6221 Richards Dr, Shawnee, KS 66216 Phone: 913-248-1943 Fax: 913-248-1994 | |
Kevin Ryan Kufeldt, LPC Counselor Medicare: Medicare Enrolled Practice Location: 6440 Nieman Rd, Shawnee, KS 66203 Phone: 913-826-4200 | |
Alexandria Wagner, LPC Counselor Medicare: Medicare Enrolled Practice Location: 6440 Nieman Rd, Shawnee, KS 66203 Phone: 913-826-4200 | |
Andrew Funk, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11120 W 65th St, Shawnee, KS 66203 Phone: 913-826-4100 | |
Sue Jacobson, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6221 Richards Dr, Shawnee, KS 66216 Phone: 913-248-1943 Fax: 913-248-1994 |