MEDICARE: SEWARD COUNTY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number	:	1043401474
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SEWARD COUNTY

Provider Business Mailing Address
First Line	:	517 N WASHINGTON AVE
Second Line	:
City	:	LIBERAL
State	:	KS
Zip	:	67901-3428
Country	:	US
Telephone Number	:	620-626-3284
Fax Number	:

Provider Business Practice Location Address
First Line	:	517 N WASHINGTON AVE
Second Line	:
City	:	LIBERAL
State	:	KS
Zip	:	67901-3428
Country	:	US
Telephone Number	:	620-626-3284
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MIKE HOWELL
Credential	:
Telephone Number	:	620-626-3284

Provider Enumeration Date	:	08/09/2007
Last Update Date	:	06/12/2008

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Directions to “SEWARD COUNTY ” Practice Location

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