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Organization
COUNSELING & MEDIATION CENTER INC
Active
Organization
COUNSELING & MEDIATION CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
J DOUGLAS MORPHIS LMFT, D.MIN. (INTERIM DIRECTOR)
(316) 269-2322
Entity
Organization
Contact information
Practice address
200 W DOUGLAS AVE STE 560, WICHITA, KS 67202-3020
(316) 269-2322
(316) 269-2448
Mailing address
200 W DOUGLAS AVE STE 560, WICHITA, KS 67202-3020
(316) 269-2322
(316) 269-2448
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
KS
Other
Enumeration date
08/19/2006
Last updated
10/19/2017
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