Individual
DONNA BOTINELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1604 W 4TH ST, COFFEYVILLE, KS 67337-3334
(620) 251-8180
(620) 251-8180
Mailing address
PO BOX 688, INDEPENDENCE, KS 67301-0688
(620) 331-1748
(620) 331-1748
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAC 467
KS
106H00000X
Marriage & Family Therapist
Primary
147
KS
Other
Enumeration date
04/10/2008
Last updated
09/30/2014
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