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NPI Code Detail

MEDICARE: THE CENTER FOR COUNSELING AND CONSULTATION

MEDICARE: THE CENTER FOR COUNSELING AND CONSULTATION
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
1251B00000XCase Management Agency004KS

General Provider Information

NPI Number : 1366520611
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE CENTER FOR COUNSELING AND CONSULTATION
Provider Business Mailing Address
First Line : 5815 BROADWAY AVE
Second Line :
City : GREAT BEND
State : KS
Zip : 67530-3123
Country : US
Telephone Number : 620-792-2544
Fax Number : 620-792-7052
Provider Business Practice Location Address
First Line : 5815 BROADWAY AVE
Second Line :
City : GREAT BEND
State : KS
Zip : 67530-3123
Country : US
Telephone Number : 620-792-2544
Fax Number : 620-792-7052
Authorized Official
Title or Position : CLINICAL DIRECTOR
Name : DR. PATRAICK W STANG
Credential : MD
Telephone Number : 620-792-2544
Provider Enumeration Date : 11/02/2006
Last Update Date : 11/01/2007

Similar Medicare Providers

1366445215 — MS. ALICE JOYCE GRIFFITT MSN, ARNP, BC, CNS
Practice Location Address:
5815 BROADWAY AVE
GREAT BEND, KS
67530-3123
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1104862549 — CENTER FOR COUNSELING AND CONSULTATION
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1720019276 — MS. CYNTHIA MARIE STRECK APRN
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1508886946 — MRS. PATRICIA WILLENE MERMIS APRN
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1336254556 — MR. KENNETH ROMAINE HASS M.A., AAPS, LPC
Practice Location Address:
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1447378427 — MISS HOPE D SLACK LMSW
Practice Location Address:
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Directions to “THE CENTER FOR COUNSELING AND CONSULTATION ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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