Individual
DIANA MERSHON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AAPS
Contact information
Practice address
140 N HYDRAULIC ST STE 600, WICHITA, KS 67214-4296
(316) 558-3066
(316) 558-3067
Mailing address
140 N HYDRAULIC ST STE 600, WICHITA, KS 67214-4296
(316) 558-3066
(316) 558-3067
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20060412A
—
KS
Enumeration date
10/01/2009
Last updated
10/01/2009
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