Individual
MS. TERESA JO STUART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSCSW, LCAC
Contact information
Practice address
100 MILITARY AVE, SUITE 116, DODGE CITY, KS 67801-4946
(620) 338-2168
(620) 225-1311
Mailing address
PO BOX 602, BUCKLIN, KS 67834-0602
(620) 338-2168
(620) 225-1311
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAC 186
KS
1041C0700X
Clinical Social Worker
Primary
LSCSW 2135
KS
Other
Enumeration date
08/20/2006
Last updated
04/27/2012
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