Individual
LYNELL BETH KALLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
520 WASHINGTON ST, SUITE C, CONCORDIA, KS 66901-2121
(785) 243-4164
(785) 243-4164
Mailing address
PO BOX 254, 520 WASHINGTON STREET, SUITE C, CONCORDIA, KS 66901-0254
(785) 243-4164
(785) 243-4614
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
130
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200363150A
—
KS
Enumeration date
01/08/2013
Last updated
01/08/2013
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