Individual
KIM DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMAC
Contact information
Practice address
1558 HAYES DR, MANHATTAN, KS 66502-5068
(785) 587-4315
Mailing address
PO BOX 747, MANHATTAN, KS 66505-0747
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
698
KS
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
730
KS
Other
Enumeration date
10/16/2018
Last updated
02/06/2019
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