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Individual

JACK GREEVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMSW. LMAC

Contact information

Practice address
1309 N DUNCAN ST, NEWTON, KS 67114-5704
(785) 230-7394
(785) 267-0573
Mailing address
130 E 5TH ST, PO BOX 711, NEWTON, KS 67114-2206
(316) 283-6743
(316) 283-6830

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1053
KS
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LMAC437
KS
104100000X
Social Worker
LMSW10391
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100106710 S
KS
Enumeration date
06/13/2014
Last updated
02/09/2021
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