Individual
CAROL KUMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSCSW, LCAC
Contact information
Practice address
200 MAINE ST STE A, LAWRENCE, KS 66044-1396
(785) 843-9192
(785) 843-2219
Mailing address
PO BOX 747, MANHATTAN, KS 66505-0747
(785) 587-4344
(785) 587-4377
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
477
KS
1041C0700X
Clinical Social Worker
Primary
1907
KS
Other
Enumeration date
10/23/2009
Last updated
08/13/2019
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