Individual
MR. GARY RICHARD HENAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHT
Contact information
Practice address
325 SW FRAZIER AVE, TOPEKA, KS 66606-1963
(785) 270-8935
(785) 232-5164
Mailing address
325 SW FRAZIER AVE, TOPEKA, KS 66606-1963
(785) 270-8935
(785) 232-5164
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
33-2427-120
KS
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/27/2011
Last updated
01/27/2011
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