Individual
ESMERALDA MAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
216 N 9TH ST, GARDEN CITY, KS 67846-5310
(620) 307-3638
Mailing address
216 N 9TH ST, GARDEN CITY, KS 67846-5310
(620) 307-3638
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
04955
KS
Other
Enumeration date
02/01/2025
Last updated
02/10/2025
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