Individual
MARY TERESA NIELSEN-GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
120 W 2ND AVE STE 400, GODDARD, KS 67052-9074
(316) 641-0347
Mailing address
31755 W HARRY ST, GARDEN PLAIN, KS 67050-9547
(316) 641-0347
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3147
KS
Other
Enumeration date
05/14/2020
Last updated
01/09/2025
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