Individual
MARIE SHIELDS-PFANNENSTIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMLP,LCMFT,LCP
Contact information
Practice address
2001 CLAFLIN RD, MANHATTAN, KS 66502-3415
(785) 587-4300
(785) 587-4321
Mailing address
423 HOUSTON STREET, PO BOX 747, MANHATTAN, KS 66505-0747
(785) 587-4300
(785) 587-4321
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
0130
KS
101YM0800X
Mental Health Counselor
236
KS
106H00000X
Marriage & Family Therapist
Primary
190
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11658852
CAQH
—
05
—
200450720A
—
KS
01
—
856677
BCBS
KS
Enumeration date
06/14/2006
Last updated
11/07/2012
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