| Counseling & Mediation Center Inc | |
|
200 W Douglas Ave Ste 560 Wichita KS 67202-3020 | |
| (316) 269-2322 | |
| (316) 269-2448 |
| Full Name | Counseling & Mediation Center Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 200 W Douglas Ave Ste 560, Wichita, Kansas |
| Authorized Official Name and Position | J Douglas Morphis (INTERIM DIRECTOR) |
| Authorized Official Contact | 3162692322 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling & Mediation Center Inc 200 W Douglas Ave Ste 560 Wichita KS 67202-3020 Ph: (316) 269-2322 | Counseling & Mediation Center Inc 200 W Douglas Ave Ste 560 Wichita KS 67202-3020 Ph: (316) 269-2322 |
| NPI Number | 1013021401 |
|---|---|
| Provider Enumeration Date | 08/19/2006 |
| Last Update Date | 10/19/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013021401 | NPI | - | NPPES |
| 20043041A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (Kansas) | Primary |
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