Individual
ALEXIS BRODEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
1901 E 1ST ST, NEWTON, KS 67114-5010
(316) 284-6400
Mailing address
1901 E 1ST ST, NEWTON, KS 67114-5010
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
01852
KS
Other
Enumeration date
08/15/2023
Last updated
08/15/2023
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