Organization
TAKE CHARGE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERRI CLINTON DICHISER L,C,P.C. (OWNER)
(913) 239-8255
Entity
Organization
Contact information
Practice address
14700 METCALF AVE, SUITE 100, OVERLAND PARK, KS 66223-2204
(913) 239-8255
(866) 233-0419
Mailing address
14700 METCALF AVE, SUITE 100, OVERLAND PARK, KS 66223-2204
(913) 239-8255
(866) 233-0419
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCPC 239
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114052412
PERSONAL NPI
KS
01
—
30836016
BC/BS-KC PROVIDER #
KS
Enumeration date
08/21/2007
Last updated
08/21/2007
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