Individual
JUDITH K SHAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
230 S KANSAS AVE, OLATHE, KS 66061-4437
(913) 764-7555
(913) 764-7539
Mailing address
900 E LAHARPE ST, KIRKSVILLE, MO 63501-4520
(660) 665-1962
(660) 665-3989
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
276
KS
Other
Enumeration date
02/05/2013
Last updated
02/05/2013
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