# ICT CASE MANAGEMENT, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497644553
- **Authorized official:** MR. JASON MCKENNEY LMSW (FOUNDER)
- **Authorized official phone:** (316) 208-1031

## Contact information

- **Practice address:** 2434 N FIELDSTONE ST, ANDOVER, KS 67002-7553
- **Practice address phone:** (316) 208-1031
- **Mailing address:** 2434 N FIELDSTONE ST, ANDOVER, KS 67002-7553
- **Mailing address phone:** (316) 208-1031

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |

## Other

- **Enumeration date:** 07/01/2025
- **Last updated:** 07/03/2025
