Organization
PETER NINEMIRE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER NINEMIRE LMSW, LCAC (DIRECTOR)
(315) 295-4800
Entity
Organization
Contact information
Practice address
714 S HILLSIDE ST, WICHITA, KS 67211-3002
(316) 295-4800
(316) 295-4811
Mailing address
714 S HILLSIDE ST, WICHITA, KS 67211-3002
(316) 295-4800
(316) 295-4811
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
344
KS
101YM0800X
Mental Health Counselor
Primary
6503
KS
Other
Enumeration date
03/03/2014
Last updated
03/03/2014
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