Individual
MRS. LUANN UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, ICADC, CSAC
Contact information
Practice address
7424 APENNINES DRIVE, ARMY SUBSTANCE ABUSE PROGRAM, FORT RILEY, KS 66442
(785) 240-6573
(785) 239-0631
Mailing address
7424 APENNINES DRIVE, ARMY SUBSTANCE ABUSE PROGRAM, FORT RILEY, KS 66442
(785) 240-6573
(785) 239-0631
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1826-14
HI
104100000X
Social Worker
Primary
9278
KS
Other
Enumeration date
02/23/2015
Last updated
02/23/2015
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