Individual
DILLAN SOPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCAC
Contact information
Practice address
1816 N 2ND ST, ATCHISON, KS 66002-1004
(913) 367-1618
Mailing address
PO BOX 312, ATCHISON, KS 66002-0312
(913) 367-1618
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
00761
KS
Other
Enumeration date
12/02/2022
Last updated
12/02/2022
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