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Organization

LAFORGE'S ADDICTION THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KARYN LAFORGE BS, AAPS (DIRECTOR)
(316) 312-8823
Entity
Organization

Contact information

Practice address
724 OIL HILL RD, EL DORADO, KS 67042-3360
(316) 452-5646
(316) 452-5647
Mailing address
520 N EMPORIA ST, EL DORADO, KS 67042-1624
(316) 312-8823
(316) 452-5647

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
06910870
KS

Other

Enumeration date
07/07/2008
Last updated
07/22/2014
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