Individual
MS. MARY E SCHAAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAC
Contact information
Practice address
402 S KANSAS, CHANUTE, KS 66720
(620) 431-7890
(620) 431-7927
Mailing address
16135 1800TH RD, BENEDICT, KS 66714
(620) 698-3931
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
A
KS
Other
Enumeration date
01/22/2007
Last updated
07/08/2007
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