Organization
COUNSELING RESOURCES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERRI CLOCK (EXEC ASSISTANT)
(913) 647-7726
Entity
Organization
Contact information
Practice address
511 SW JACKSON ST, TOPEKA, KS 66603-3333
(785) 232-1349
Mailing address
6840 SILVERHEEL ST, SHAWNEE, KS 66226-5300
(913) 647-7726
(913) 647-7710
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
KS
101YP2500X
Professional Counselor
Primary
—
—
103TC0700X
Clinical Psychologist
—
KS
104100000X
Social Worker
—
KS
1041C0700X
Clinical Social Worker
—
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200421460A
KMAP PROVIDER NUMBER
KS
05
—
200421460C
—
KS
Enumeration date
04/16/2007
Last updated
09/18/2019
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