Individual
JAYDA MARIAH LAUBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5815 BROADWAY AVE, GREAT BEND, KS 67530-3197
(620) 792-2544
Mailing address
5815 BROADWAY AVE, GREAT BEND, KS 67530-3197
(620) 792-2544
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
01973-TS
KS
104100000X
Social Worker
09286
KS
Other
Enumeration date
04/08/2025
Last updated
04/08/2025
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