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Amy Wacker, LPC
Mental Health Counselor in Paola, Kansas
NPI 1013076819

Amy Wacker is a Mental Health Counselor based in Ottawa, KS and is specialized in Mental Health. Amy Wacker practices in Paola, KS and has the professional credentials of LPC. The NPI Number for Amy Wacker is 1013076819 and holds a License No. LPC 845 (Kansas).

The current practice location address for Amy Wacker is 25955 W 327Th St, Paola, KS and can be reached out via phone at 913-557-9096 and via fax at 913-294-9247.

Location: 25955 W 327Th St, Paola, KS, 66067-0677
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013076819
Provider Name
Amy Wacker
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
25955 W 327Th St, Paola, KS, 66067-0677
Phone Number
913-557-9096
Fax Number
913-294-9247
Provider Enumeration Date
12/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200431960A 05 KS
institution
Provider Business Practice Location Address Details
Address
25955 W 327Th St
City
Paola
State
Kansas
Zip
66071-4920
Phone Number
913-557-9096
Fax Number
913-294-9247
person
Provider Business Mailing Address Details
Address
25955 W 327Th St
City
Paola
State
Kansas
Zip
66071-4920
Phone Number
913-557-9096
Fax Number
913-294-9247
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
LPC 845 (Kansas)
Definition
Definition to come...
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