Individual
HANS HALTOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3751 W MAIN ST, INDEPENDENCE, KS 67301-8446
(620) 331-1748
Mailing address
PO BOX 688, INDEPENDENCE, KS 67301-0688
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
745
KS
Other
Enumeration date
08/15/2006
Last updated
06/17/2011
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