Individual
MEGAN WACKERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 LINCOLN ST, EMPORIA, KS 66801-2449
(620) 343-2211
Mailing address
1000 LINCOLN ST, EMPORIA, KS 66801-2449
(620) 343-2211
(620) 342-1021
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
04122-T
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04122
BSRB LICENSE
KS
Enumeration date
10/14/2022
Last updated
10/14/2022
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