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Individual

CHARLES DREES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LSCSW, LCMFT

Contact information

Practice address
2001 CLAFLIN RD, MANHATTAN, KS 66502-3415
(785) 587-4300
(785) 587-4377
Mailing address
PO BOX 747, MANHATTAN, KS 66505-0747
(785) 587-4300
(785) 587-4377

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1290
KS
106H00000X
Marriage & Family Therapist
031
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
044735
BCBS NUMBER
KS
01
11654619
CAQH
05
200440750A
KS
Enumeration date
06/09/2006
Last updated
01/22/2013
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