Organization
CONNIE M. DULOHERY
Active
Other names
Stonecrest
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CONNIE M. UNREIN-DULOHERY LSCSW (CLINICAL COORDINATOR)
(620) 442-0551
Entity
Organization
Contact information
Practice address
7259 244TH RD, ARKANSAS CITY, KS 67005-5825
(620) 442-0551
(620) 442-0551
Mailing address
7259 244TH RD, ARKANSAS CITY, KS 67005-5825
(620) 442-0551
(620) 442-0551
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LSCSW1513
KS
101YM0800X
Mental Health Counselor
Primary
LSCSW1513
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111173
BLUE CROSS BLUE SHIELD
KS
Enumeration date
05/01/2006
Last updated
01/23/2008
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