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Mrs. Connie Dean Ericksten
Pastoral Counselor in Bentley, Kansas
NPI 1093113128

Connie Dean Ericksten is a Pastoral Counselor based in Bentley, KS and is specialized in Pastoral. Connie Dean Ericksten practices in Bentley, KS. The NPI Number for Connie Dean Ericksten is 1093113128 and holds a License No. 14640 (Kansas).

The current practice location address for Connie Dean Ericksten is 111 S Devinshire Ave, Bentley, KS and can be reached out via phone at 316-796-0770.

Location: 111 S Devinshire Ave, Bentley, KS, 67016-0111
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093113128
Provider Name
Connie Dean Ericksten
Credential
Provider Entity Type
Individual
Gender
Female
Address
111 S Devinshire Ave, Bentley, KS, 67016-0111
Phone Number
316-796-0770
Fax Number
Provider Enumeration Date
12/05/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
111 S Devinshire Ave
City
Bentley
State
Kansas
Zip
67016-7625
Phone Number
316-796-0770
Fax Number
person
Provider Business Mailing Address Details
Address
111 S Devinshire Ave
City
Bentley
State
Kansas
Zip
67016-7625
Phone Number
316-796-0770
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Pastoral
Taxonomy
101YP1600X
License No.
14640 (Florida)
Definition
Definition to come...
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