Individual
MRS. REBECCA L DOAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CADC III, NCAC II
Contact information
Practice address
226 W CENTRAL AVE, EL DORADO, KS 67042-2146
(316) 322-7057
Mailing address
PO BOX 91, EL DORADO, KS 67042-0091
(316) 322-7057
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
848
LPC
KS
Enumeration date
05/07/2007
Last updated
07/08/2007
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