Individual
NICKOLAS MACALUSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
201 MAIN ST, ATCHISON, KS 66002-2838
(913) 367-1593
(913) 367-1627
Mailing address
500 LIMIT ST, LEAVENWORTH, KS 66048-4435
(913) 682-5118
(913) 682-4664
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2402
KS
Other
Enumeration date
11/06/2014
Last updated
08/04/2016
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