Organization
ARK COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN DEAN NUTT LMSW (DIRECTOR)
(913) 294-9175
Entity
Organization
Contact information
Practice address
310 N HOSPITAL DR, PAOLA, KS 66071-1304
(913) 294-9175
Mailing address
310 N HOSPITAL DR, PAOLA, KS 66071-1304
(913) 294-9175
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/13/2015
Last updated
02/13/2015
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