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General NPI Number Information
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NPI Number | 1831508589
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Entity Type | Organization
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Legal Business Name | MENTAL HEALTH ASSOCIATION
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Dates
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Enumeration Date | 08/07/2014
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Last Update Date | 08/07/2014
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Provider Practice Location Address
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Address Line | 555 N WOODLAWN ST # 130
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City | WICHITA
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State | KS
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Zip | 67208-3646
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Country | US
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Telephone | 316-652-0952
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Fax | 316-652-2595
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Provider Business Mailing Address
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Address Line | 555 N WOODLAWN ST # 130
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City | WICHITA
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State | KS
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Zip | 67208-3646
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | LICENSED ADDICTIONS COUNSELOR
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Name | HELEN FRANCES SMALLEY
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Credential | LAC
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Telephone | 316-652-2590
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 337
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License Number State | KS
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