Individual
KATIE RUTHERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMAC, LMSW
Contact information
Practice address
130 E 5TH ST, NEWTON, KS 67114-2206
(316) 283-6743
Mailing address
130 E 5TH ST, NEWTON, KS 67114-2206
(316) 283-6743
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
938
KS
104100000X
Social Worker
9783
KS
Other
Enumeration date
09/09/2021
Last updated
09/09/2021
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