Individual
MR. CHARLES RUSSELL BOYD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
21350 W 153RD ST, OLATHE, KS 66061-5413
(913) 322-2400
(913) 621-5730
Mailing address
18788 HARVEYVILLE RD, HARVEYVILLE, KS 66431-9220
(785) 828-3411
(785) 828-3657
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC 1855
KS
Other
Enumeration date
05/10/2007
Last updated
06/09/2008
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