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Individual

CHARLES PATRICK GARRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCP. LCAC, TTS

Contact information

Practice address
901 S MAIN ST, OTTAWA, KS 66067-3315
(913) 521-6300
(913) 521-6301
Mailing address
901 S MAIN ST, OTTAWA, KS 66067-3315
(913) 521-6300
(913) 521-6301

Taxonomy

Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
LCAC00846
KS
103TB0200X
Cognitive & Behavioral Psychologist
1444
KS
103TC0700X
Clinical Psychologist
Primary
1444
KS
103TP2701X
Group Psychotherapy Psychologist
1444

Other

Enumeration date
05/16/2007
Last updated
09/05/2025
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