Individual
KATHY RISLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADACII
Contact information
Practice address
1601 W 16TH ST, WELLINGTON, KS 67152-8125
(620) 326-7448
Mailing address
1601 W 16TH ST, P O BOX 607, WELLINGTON, KS 67152-8125
(620) 326-7448
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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