Individual
MR. KENNETH WALTER ROSS MOBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCMFT
Contact information
Practice address
134 S SANTE FE, STE 130, SALINA, KS 67401
(785) 342-3693
Mailing address
2451 15TH AVE, LINDSBORG, KS 67456-5156
(785) 342-3693
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
198
KS
Other
Enumeration date
06/07/2007
Last updated
03/26/2012
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