Organization
ICT CASE MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON MCKENNEY LMSW (FOUNDER)
(316) 208-1031
Entity
Organization
Contact information
Practice address
2434 N FIELDSTONE ST, ANDOVER, KS 67002-7553
(316) 208-1031
Mailing address
2434 N FIELDSTONE ST, ANDOVER, KS 67002-7553
(316) 208-1031
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
07/01/2025
Last updated
07/03/2025
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