Individual
MS. WHITNEY DAVIS MOULDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., LAC
Contact information
Practice address
7940 MARSHALL DR, LENEXA, KS 66214-1562
(913) 956-5318
Mailing address
21350 W 153RD ST, OLATHE, KS 66061-5413
(913) 322-4900
(913) 780-1284
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
794
KS
Other
Enumeration date
01/20/2014
Last updated
01/20/2014
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