Individual
BRIAN ABBOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8826 SANTA FE DR, OVERLAND PARK, KS 66212-3655
(913) 370-7099
Mailing address
4304 E 109TH TER, KANSAS CITY, MO 64137-2017
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
276
KS
104100000X
Social Worker
Primary
10278
KS
Other
Enumeration date
12/06/2016
Last updated
09/25/2018
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