Organization
NEW LEAF THERAPY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN DUTCHER PSYD, LP, LCMFT (OWNER)
(316) 351-8696
Entity
Organization
Contact information
Practice address
1204 SE LOUIS DR, MULVANE, KS 67110-1113
(316) 351-8696
(844) 581-0869
Mailing address
1204 SE LOUIS DR, MULVANE, KS 67110-1113
(316) 351-8696
(844) 581-0869
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1982
KS
106H00000X
Marriage & Family Therapist
812
KS
Other
Enumeration date
07/22/2015
Last updated
07/22/2015
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