Susan Diane Nimrod, LCPC

NPI #1053493189 in Leavenworth, Kansas

Provider Information

NPI Number: 1053493189
Entity Type: Individual
Name: Susan Diane Nimrod, LCPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: LCPC
Enumeration Date: Oct 19, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 3515 S 4TH STREET
Address 2: PROFESSIONAL ASSOCIATION
City: Leavenworth
State: Kansas
ZIP Code: 66048
Phone: (913) 651-8415

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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