Individual
JEFF KAUFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SATR
Contact information
Practice address
1601 W 16TH ST, WELLINGTON, KS 67152-8125
(620) 326-7448
Mailing address
1601 W 16TH ST, WELLINGTON, KS 67152-8125
(620) 326-7448
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
514
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100229020E
—
KS
Enumeration date
09/28/2006
Last updated
09/07/2011
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