Individual
KENDALL RUNNEBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
1005 N BUCKEYE AVE, ABILENE, KS 67410-1940
(785) 236-8612
(785) 783-5366
Mailing address
1005 N BUCKEYE AVE, ABILENE, KS 67410-1940
(785) 236-8612
(785) 783-5366
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
578
KS
1041C0700X
Clinical Social Worker
Primary
4472
KS
Other
Enumeration date
11/04/2009
Last updated
05/31/2020
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