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Susan Diane Nimrod, LCPC
Counselor in Leavenworth, Kansas
NPI 1053493189

Susan Diane Nimrod is a Counselor based in Shawnee Mission, KS. Susan Diane Nimrod practices in Leavenworth, KS and has the professional credentials of LCPC. The NPI Number for Susan Diane Nimrod is 1053493189 and holds a License No. 213 (Kansas).

The current practice location address for Susan Diane Nimrod is 3515 S 4Th Street, Leavenworth, KS and can be reached out via phone at 913-651-8415 and via fax at 913-772-8580. You can also correspond with Susan Diane Nimrod through the mailing address at PO BOX 860513, SHAWNEE MISSION, KS - 66286 (mailing address contact number: 913-530-0158).

Location: 3515 S 4Th Street, Leavenworth, KS, 66286
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053493189
Provider Name
Susan Diane Nimrod
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
3515 S 4Th Street, Leavenworth, KS, 66286
Phone Number
913-651-8415
Fax Number
913-772-8580
Provider Enumeration Date
10/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
33078027 01 KS BCBS KANSAS
institution
Provider Business Practice Location Address Details
Address
3515 S 4Th Street
City
Leavenworth
State
Kansas
Zip
66048
Phone Number
913-651-8415
Fax Number
913-772-8580
person
Provider Business Mailing Address Details
Address
Po Box 860513
City
Shawnee Mission
State
Kansas
Zip
66286
Phone Number
913-530-0158
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
213 (Kansas)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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