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Organization

CENTER FOR COUNSELING AND CONSULTATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PATRICK W STANG MD (CLIN DIR)
(620) 792-2544
Entity
Organization

Contact information

Practice address
5815 BROADWAY AVE, GREAT BEND, KS 67530-3123
(620) 792-2544
(620) 792-7052
Mailing address
5815 BROADWAY AVE, GREAT BEND, KS 67530-3123
(620) 792-2544
(620) 792-7052

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
004-06302011
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100098090A
KS
Enumeration date
06/22/2006
Last updated
05/06/2015
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