Individual
MR. MICKEY GLENN TENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., LCMFT
Contact information
Practice address
7427 APENINNES ROAD, FT RILEY, KS 66442-7037
(785) 239-7311
Mailing address
7424 APENNINES DR, FT RILEY, KS 66442-7151
(785) 239-7311
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
256
KS
Other
Enumeration date
12/01/2010
Last updated
05/21/2013
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