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Individual

TERRY PFANNENSTIEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCMFT

Contact information

Practice address
2001 CLAFLIN RD, MANHATTAN, KS 66502-3415
(785) 587-4300
(785) 587-4305
Mailing address
PO BOX 747, MANHATTAN, KS 66505-0747
(785) 587-4300
(785) 587-4377

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
0110
KS
101YM0800X
Mental Health Counselor
326
KS
101YP2500X
Professional Counselor
326
KS
103TC1900X
Counseling Psychologist
0110
KS
106H00000X
Marriage & Family Therapist
Primary
015
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11759324
CAQH
05
200443570A
KS
01
856673
BCBS
KS
Enumeration date
06/14/2006
Last updated
02/06/2019
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