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517 N Washington Ave Liberal KS 67901-3428 | |
| (620) 626-3284 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 517 N Washington Ave, Liberal, Kansas |
| Authorized Official Name and Position | Mike Howell (DIRECTOR) |
| Authorized Official Contact | 6206263284 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
517 N Washington Ave Liberal KS 67901-3428 Ph: (620) 626-3284 | 517 N Washington Ave Liberal KS 67901-3428 Ph: (620) 626-3284 |
| NPI Number | 1043401474 |
|---|---|
| Provider Enumeration Date | 08/09/2007 |
| Last Update Date | 06/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043401474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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