| Mr Elton Michael Priddy, LCPC | |
|
12400 W 62nd Ter, Suite G, Shawnee, KS 66216-1833 | |
| (913) 449-3696 | |
| (913) 548-4816 |
| Full Name | Mr Elton Michael Priddy |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 12400 W 62nd Ter, Shawnee, Kansas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366587016 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 229 (Kansas) | Primary |
| 101YP2500X | Counselor - Professional | 2002008095 (Missouri) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Elton Michael Priddy, LCPC Po Box 24131, Overland Park, KS 66283-4131 Ph: (913) 449-3696 | Mr Elton Michael Priddy, LCPC 12400 W 62nd Ter, Suite G, Shawnee, KS 66216-1833 Ph: (913) 449-3696 |
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 | |
Kristy Mccollum-wachter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11120 W 65th St, Shawnee, KS 66203 Phone: 913-826-4200 | |
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 |