Individual
STEVEN WRIGHT NIMROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
3515 S 4TH STREET, PROFESSIONAL ASSOCIATION, LEAVENWORTH, KS 66048
(913) 951-8415
(913) 772-8580
Mailing address
PO BOX 860513, SHAWNEE MISSION, KS 66286
(913) 530-2426
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
075
KS
101Y00000X
Counselor
2002012681
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2193011
CIGNA
—
01
—
30863033
BCBS KC
KS
01
—
B016
TRICARE
—
Enumeration date
11/07/2006
Last updated
07/08/2007
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