| Counseling And Mediation Center, Inc. | |
|
210 Soule St Suite 106 Dodge City KS 67801-2558 | |
| (620) 227-2503 | |
| (620) 227-9905 |
| Full Name | Counseling And Mediation Center, Inc. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 210 Soule St, Dodge City, Kansas |
| Authorized Official Name and Position | Michael Nichols (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3162692322 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling And Mediation Center, Inc. 200 W Douglas Ave Suite 560 Wichita KS 67202-3013 Ph: (316) 269-2322 | Counseling And Mediation Center, Inc. 210 Soule St Suite 106 Dodge City KS 67801-2558 Ph: (620) 227-2503 |
| NPI Number | 1932585577 |
|---|---|
| Provider Enumeration Date | 08/05/2015 |
| Last Update Date | 08/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932585577 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | T-LPC 2790 (Kansas) | Primary |
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