Individual
ANNELISA K SIDORIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5097 W CLOUD ST, SALINA, KS 67401-9743
(800) 423-1342
(785) 628-3113
Mailing address
509 E ELM ST, SALINA, KS 67401-2353
(800) 423-1342
(785) 628-3113
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3354
KS
Other
Enumeration date
02/22/2019
Last updated
09/18/2019
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