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Individual

ETHAN NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
325 SW FRAZIER AVE, TOPEKA, KS 66606-1999
(785) 232-5005
Mailing address
325 SW FRAZIER AVE, TOPEKA, KS 66606-1999
(785) 232-5005

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
03430
KS

Other

Enumeration date
06/13/2025
Last updated
06/13/2025
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