Individual
CHASSIDY LEE BRYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA PSYCHOLOGY
Contact information
Practice address
2537 EISENHOWER RD, OTTAWA, KS 66067-9482
(785) 242-3780
Mailing address
2537 EISENHOWER RD, OTTAWA, KS 66067-9482
(620) 757-5328
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LMLP03019
KS
Other
Enumeration date
04/29/2019
Last updated
11/08/2024
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