Individual
JEFFREY NEIL CARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1101 DONALD AVENUE, INDEPENDENCE, KS 67301
(620) 331-3131
Mailing address
PO BOX 688, INDEPENDENCE, KS 67301-0688
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
996
KS
106H00000X
Marriage & Family Therapist
Primary
1266
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200717800A
—
KS
Enumeration date
06/06/2011
Last updated
02/19/2013
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