Individual
EDWARD RUSSELL LOBDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC, LCAC, PCCM
Contact information
Practice address
1301 N 47TH ST BLDG A, KANSAS CITY, KS 66102-1705
(913) 328-4600
Mailing address
1739 E 23RD ST, LAWRENCE, KS 66046-5017
(785) 830-8238
(785) 830-8238
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
554
KS
101YM0800X
Mental Health Counselor
Primary
2354
KS
Other
Enumeration date
11/15/2011
Last updated
09/18/2024
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