Individual
MRS. ELAINE MZHICKTENO BARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW LCAC
Contact information
Practice address
11400 - 158TH ROAD, MAYETTA, KS 66509-0174
(785) 966-8200
(785) 966-8386
Mailing address
PO BOX 174, 11400 - 158TH ROAD, MAYETTA, KS 66509-0174
(785) 966-8353
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
335
KS
104100000X
Social Worker
6929
KS
Other
Enumeration date
04/22/2014
Last updated
04/22/2014
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