Michael T Countryman, MS

NPI #1407055924 in Eureka, Kansas

Provider Information

NPI Number
1407055924
Entity Type
Individual
Name
Michael T Countryman, MS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Mental Health
Credential
MS
Enumeration Date
Jul 13, 2007
Last Updated
Jul 13, 2007

Practice Location

Address
412 N SAINT NICHOLAS ST
City
Eureka
State
Kansas
ZIP Code
67045-1857
Phone
(620) 583-5543

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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