Organization
COUNSELING SERVICES OF KANSAS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE SCOTT (THERAPIST/PT OWNER)
(918) 809-7919
Entity
Organization
Contact information
Practice address
201 N PENN AVE STE 401, INDEPENDENCE, KS 67301-3354
(620) 331-2757
(844) 877-5747
Mailing address
201 N PENN AVE STE 401, INDEPENDENCE, KS 67301-3354
(620) 331-2757
(844) 877-5747
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2394
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
KS
Enumeration date
09/11/2017
Last updated
09/11/2017
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