Individual
CAROL MODDELMOG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMFT
Contact information
Practice address
1700 E IRON AVE, SALINA, KS 67401-3401
(785) 577-9802
Mailing address
1700 E IRON AVE, SALINA, KS 67401-3401
(785) 577-9802
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
194
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200430380A
—
KS
Enumeration date
06/06/2006
Last updated
02/27/2026
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