Individual
MS. ELONA FAYE REVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2008 11TH ST, GREAT BEND, KS 67530-4476
(620) 793-3164
Mailing address
2008 11TH ST, GREAT BEND, KS 67530-4476
(620) 793-3164
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC 323
KS
Other
Enumeration date
05/02/2016
Last updated
05/02/2016
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