Organization
PROFESSIONAL TREATMENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA J SUTHERLAND LSCSW, T-LAC (CLINICAL SUPERVISOR)
(785) 843-5483
Entity
Organization
Contact information
Practice address
3205 CLINTON PKWY CT, LAWRENCE, KS 66047-2627
(785) 843-5483
Mailing address
3205 CLINTON PKWY CT, LAWRENCE, KS 66047-2627
(785) 843-5483
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LSCSW 2136
KS
Other
Enumeration date
01/09/2017
Last updated
01/09/2017
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