Individual
PHILLIP DWAIN HAUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
115 S SYCAMORE ST, GARDNER, KS 66030-1348
(913) 951-9476
(913) 938-5261
Mailing address
115 S SYCAMORE ST, GARDNER, KS 66030-1348
(913) 951-9476
(913) 938-5261
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2260
KS
Other
Enumeration date
06/02/2011
Last updated
06/02/2011
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