Individual
RAYMOND E COLLIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LCAC
Contact information
Practice address
105 S NORTON AVE, NORTON, KS 67654-2163
(785) 202-0684
(785) 877-3456
Mailing address
309 W MAIN ST, NORTON, KS 67654-1951
(785) 202-0684
(785) 877-3456
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
120
KS
Other
Enumeration date
05/06/2015
Last updated
05/06/2015
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