Individual
MATTHEW R MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSCSW, LMAC
Contact information
Practice address
210 W 21ST ST, CONCORDIA, KS 66901-5200
(785) 243-8900
(785) 243-8933
Mailing address
PO BOX 747, MANHATTAN, KS 66505-0747
(785) 243-8910
(785) 243-1124
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1197
KS
101YA0400X
Addiction (Substance Use Disorder) Counselor
125
KS
1041C0700X
Clinical Social Worker
Primary
4469
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200876200A
—
KS
01
—
210755
HEALTH PARTNERS OF KS
—
Enumeration date
06/18/2012
Last updated
02/06/2019
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