Organization
EPIPHANY COUNSELING CENTRE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANE MUNRO-SEYMOUR LSCSW (OWNER/DIRECTOR)
(785) 242-0500
Entity
Organization
Contact information
Practice address
1047 S PINE ST, OTTAWA, KS 66067-3242
(785) 242-0500
(785) 242-7922
Mailing address
1047 S PINE ST, OTTAWA, KS 66067-3242
(785) 242-0500
(785) 242-7922
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
104160700X
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201097640A
—
KS
Enumeration date
02/18/2015
Last updated
02/18/2015
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