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Individual

MR. PETER GASSER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC, LMAC

Contact information

Practice address
6221 RICHARDS DR, SHAWNEE, KS 66216-1724
(913) 248-1943
(913) 248-1994
Mailing address
130 E 5TH ST, PO BOX 711, NEWTON, KS 67114-2206
(316) 283-6743
(316) 283-6830

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
114
KS
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1152
KS
101YP2500X
Professional Counselor
2619
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100106710 I
KS
Enumeration date
06/18/2014
Last updated
12/04/2020
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