Organization
AVENUES FOR CHANGE
Active
Other names
Avenues For Change
Organization subpart
No
Provider details
NPI number
Authorized official
KELLEY JOHNSON LCPC-S, LCAC (PRESIDENT)
(620) 796-2206
Entity
Organization
Contact information
Practice address
809 S PATTON RD, GREAT BEND, KS 67530-4620
(620) 796-2206
(866) 288-1782
Mailing address
PO BOX 1223, GREAT BEND, KS 67530-1223
(620) 796-2206
(866) 288-1782
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/05/2023
Last updated
04/14/2024
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