Individual
MRS. LISA MARIE DOCKTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LCPC
Contact information
Practice address
1807 E MARY ST, 10, GARDEN CITY, KS 67846-7602
(620) 276-1500
(620) 276-1548
Mailing address
1807 E MARY ST, 10, GARDEN CITY, KS 67846-7602
(620) 276-1500
(620) 276-1548
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCPC 356
KS
Other
Enumeration date
09/17/2006
Last updated
07/08/2007
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