Individual
MANDI SHROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
115 S SYCAMORE ST, GARDNER, KS 66030-1348
(913) 735-9073
Mailing address
208 S ROGERS RD, LOUISBURG, KS 66053-4064
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
KS
101YM0800X
Mental Health Counselor
Primary
—
KS
101YP2500X
Professional Counselor
—
KS
Other
Enumeration date
07/03/2019
Last updated
07/10/2019
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