Individual
JESSE DUVALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2611 SW 17TH ST, TOPEKA, KS 66604-2603
(785) 249-4173
Mailing address
2611 SW 17TH ST, TOPEKA, KS 66604-2603
(785) 289-8601
Taxonomy
Speciality
Code
Description
License number
State
101200000X
Drama Therapist
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
03/28/2024
Last updated
03/31/2024
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