Individual
MRS. ELLANOR RUTH MCCALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
5815 BROADWAY AVE, GREAT BEND, KS 67530-3123
(620) 792-2544
(620) 792-7052
Mailing address
5815 BROADWAY AVE, GREAT BEND, KS 67530-3123
(620) 792-2544
(620) 792-7052
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
579
KS
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Enumeration date
01/04/2008
Last updated
06/23/2016
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