Individual
MICHAEL JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCP; LPC; MAC; NCC
Contact information
Practice address
500 LIMIT ST, LEAVENWORTH, KS 66048-4435
(913) 682-5118
(913) 682-4664
Mailing address
500 LIMIT ST, LEAVENWORTH, KS 66048-4435
(913) 682-5118
(913) 682-4664
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2009034544
MO
103T00000X
Psychologist
777
KS
103TC0700X
Clinical Psychologist
Primary
909
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100117700A
—
KS
Enumeration date
03/02/2006
Last updated
02/10/2011
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