Individual
DAVID JOHN WIRTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
402 S KANSAS AVE, CHANUTE, KS 66720-2107
(620) 431-7890
(620) 431-7927
Mailing address
402 S KANSAS AVE, CHANUTE, KS 66720-2107
(620) 431-7890
(620) 431-7927
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3090
KS
Other
Enumeration date
06/20/2017
Last updated
07/21/2022
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