Individual
DONALD MZHICKTENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1739 E 23RD ST, LAWRENCE, KS 66046-5017
(785) 830-8238
(785) 830-8246
Mailing address
1739 E 23RD ST, LAWRENCE, KS 66046-5017
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
735
KS
Other
Enumeration date
03/12/2014
Last updated
03/12/2014
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