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Organization

MEADOWLARK COUNSELING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KEVIN R MARTIN NISLY LSCSW (THERAPIST)
(620) 960-7414
Entity
Organization

Contact information

Practice address
1 N MAIN ST STE 416, HUTCHINSON, KS 67501-5250
(620) 960-7414
(888) 516-0964
Mailing address
PO BOX 51, ARLINGTON, KS 67514-0051
(620) 960-7414
(620) 259-7994

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200452020G
KS
Enumeration date
05/08/2020
Last updated
03/15/2024
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