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Kristy Mccollum-wachter
Addiction (Substance Use Disorder) Counselor in Shawnee, Kansas
NPI 1154537488

Kristy Mccollum-wachter is an Addiction (Substance Use Disorder) Counselor based in Mission, KS and is specialized in Addiction (Substance Use Disorder). Kristy Mccollum-wachter practices in Shawnee, KS. The NPI Number for Kristy Mccollum-wachter is 1154537488 and holds a License No. 176 (Kansas).

The current practice location address for Kristy Mccollum-wachter is 11120 W 65Th St, Shawnee, KS and can be reached out via phone at 913-826-4200.

Location: 11120 W 65Th St, Shawnee, KS, 66202-3234
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154537488
Provider Name
Kristy Mccollum-wachter
Credential
Provider Entity Type
Individual
Gender
Female
Address
11120 W 65Th St, Shawnee, KS, 66202-3234
Phone Number
913-826-4200
Fax Number
Provider Enumeration Date
05/15/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100098010D 05 KS
institution
Provider Business Practice Location Address Details
Address
11120 W 65Th St
City
Shawnee
State
Kansas
Zip
66203-5504
Phone Number
913-826-4200
Fax Number
person
Provider Business Mailing Address Details
Address
11120 W 65Th St
City
Shawnee
State
Kansas
Zip
66203-5504
Phone Number
913-826-4200
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
176 (Kansas)
Definition
Definition to come...
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