Individual
DR. BASCOM WILLIAM RATLIFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DSW
Contact information
Practice address
10201 W 127TH ST, OVERLAND PARK, KS 66213-3215
(913) 338-4896
(913) 681-5949
Mailing address
8606 W 108TH PL, OVERLAND PARK, KS 66210-1606
(913) 338-4896
(913) 681-5949
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
RAODAC 26
KS
1041C0700X
Clinical Social Worker
LCSW 4705
MO
1041C0700X
Clinical Social Worker
LSCSW 930
KS
Other
Enumeration date
09/13/2006
Last updated
09/11/2025
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