Organization
MAVERICK INSIGHTS COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NATHEN HACKER (LICENSED PROFESSIONAL COUNSELOR)
(316) 226-5804
Entity
Organization
Contact information
Practice address
1401 W 31ST ST S, WICHITA, KS 67217-2536
(316) 226-5804
Mailing address
3220 S VINE ST, WICHITA, KS 67217-2530
(316) 461-8721
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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