Organization
DYNAMIC COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DELVON STALEY (COUNSELING DIRECTOR/OWNER)
(316) 734-6237
Entity
Organization
Contact information
Practice address
572 S OLIVER ST, WICHITA, KS 67218-2351
(316) 734-6237
Mailing address
615 S HOLYOKE ST, WICHITA, KS 67218-1904
(316) 734-6237
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
09/30/2019
Last updated
09/30/2019
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