Individual
MR. KENNETH ROMAINE HASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A., AAPS, LPC
Contact information
Practice address
5815 BROADWAY AVE, GREAT BEND, KS 67530-3123
(620) 792-2544
(620) 792-2544
Mailing address
5815 BROADWAY AVE, GREAT BEND, KS 67530-3123
(620) 792-2544
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
4088
CO
101Y00000X
Counselor
TLPC 1020
KS
101YP2500X
Professional Counselor
Primary
1868
KS
Other
Enumeration date
08/20/2006
Last updated
12/04/2017
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